Taşkınlar Hakan, Gündoğdu Gökhan, Celik Yalçın, Avlan Dinçer, Naycı Ali
Department of Pediatric Surgery, School of Medicine, Mersin University, Mersin, Turkey.
Pediatr Int. 2014 Jun;56(3):e1-3. doi: 10.1111/ped.12311.
Although necrotizing enterocolitis (NEC) is a frequently encountered entity in premature infants in the neonatal intensive care unit, intussusception is extremely rare. Abdominal distension, bilious/non-bilious gastric residuals and bloody stool are the common clinical findings of both entities. Here we present three cases of intussusception misdiagnosed as NEC, two of which were complicated with intestinal perforation. Similar clinical findings of NEC and intussusception leads to misdiagnosis and delay in treatment, particularly in premature infants with intussusception.
尽管坏死性小肠结肠炎（NEC）在新生儿重症监护病房的早产儿中是一种常见疾病，但肠套叠极为罕见。腹胀、胆汁性/非胆汁性胃残余物及血便都是这两种疾病的常见临床表现。在此，我们报告三例被误诊为NEC的肠套叠病例，其中两例并发肠穿孔。NEC和肠套叠相似的临床表现导致误诊及治疗延误，尤其是对于患有肠套叠的早产儿。
