Two simultaneous intussusceptions in a neonate with DiGeorge syndrome: A case report
DOI:
https://doi.org/10.52783/jns.v10.920Keywords:
Neonate, Intussusception, Multiple Intussusceptions, HypoxiaAbstract
Background: Double simultaneous intussusception is a peculiar and rare variety of intussusception with only 3 previously reported neonatal cases.
Case presentation: A 15-day-old male neonate with respiratory distress was found to have Tetralogy of Fallot and hypoplastic pulmonary stenosis. Small bowel intussusception was diagnosed on ultrasound abdomen following hematochezia on the next day. Emergency laparotomy revealed two intussusceptions, ileocolic and jejunojejunal, with bowel gangrenous requiring resection and anastomosis. No pathological lead point was identified. He recovered with supportive care and was discharged.
Conclusion: Simultaneously occurring double intussusceptions are extremely rare in neonates, and thorough examination of the entire small bowel in cases of intussusception is key to the diagnosis.
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Radhakrishna V, Jindal B, Naredi BK, Balachander B, Nivedita M. Neonatal intussusception: A rare but important cause of bleeding per rectum in a neonate. Tropical Gastroenterol. 2019; 39:37-9.
Ueki I, Nakashima E, Kumagai M, Tananari Y, Kimura A, Fukuda S, et al. Intussusception in neonates: analysis of 14 Japanese patients. J Paediatr Child Health. 2004; 40:388-91.
Prakash A, Doshi B, Singh S, Vyas T, Jain A. Intussusception in a premature neonate: A rare and often misdiagnosed clinical entity. Afr J Paediatr Surg. 2015; 12:82.
Wahid FN, Malkan AD, McCarville MB, Davidoff AM. Double small bowel intussusception complicating bilateral partial nephrectomies. J Pediatr Surg Case Rep. 2014; 2:30-2.
Bothara VP, Pandey A, Rawat J. Neonatal intussusception: A review. J Neonatal Surg. 2018; 7:5.
Singh JK, Bawa M, Kanojia RP, Ghai B, Menon P, Rao KL. Idiopathic simultaneous intussusceptions in a neonate. Pediatr Surg Int. 2009; 25:445-7.
Slam KD, Teitelbaum DH. Multiple sequential intussusceptions causing bowel obstruction in a preterm neonate. J Pediatr Surg. 2007; 42:1279-81.
Ueki I, Nakashima E, Kumagai M, Kimura A, Hashimoto T. Two neonates with intussusception accompanying severe hypoxia. Pediatr Int. 2005; 47:595-7.
Yu M, Fang Z, Shen J, Zhu X, Wang D, Shi Y. Double simultaneous intussusception caused by Meckel’s diverticulum and intestinal duplication in a child. J Int Med Res. 2018; 46:3427-34.

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Copyright (c) 2021 Uday Bhaskar MNS Mokrala, Lakshmi Sundararajan, Chandra Kumar Natarajan

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