Intussusception in an extremely premature infant following bacterial sepsis

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• 作者：Yoshio Shima (1) (2)
  Sakae Kumasaka (2)
  Kentaro Yashiro (1)
  Mizue Nakajima (2)
  Makoto Migita (1)
  
• 关键词：Intussusception ; Septic shock
• 刊名：European Journal of Pediatrics
• 出版年：2012
• 出版时间：April 2012
• 年：2012
• 卷：171
• 期：4
• 页码：725-727
• 全文大小：165KB
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• 作者单位：Yoshio Shima (1) (2)
  Sakae Kumasaka (2)
  Kentaro Yashiro (1)
  Mizue Nakajima (2)
  Makoto Migita (1)
  
  1. Department of Pediatrics, Nippon Medical School, Tokyo, Japan
  2. Department of Pediatrics, Japanese Red Cross Katsushika Maternity Hospital, Tokyo, Japan
  

文摘

Intussusception occurring in premature infants is exceedingly rare and shows substantially different characteristics from that in the typical age group or non-premature neonates. We present a case of intussusception in an extremely premature infant following bacterial sepsis, in which necrotizing enterocolitis was initially suspected. The correct diagnosis was made at 35?days old using abdominal ultrasonography, but the general condition of the infant had deteriorated to the point where surgery could not be performed. The patient died of multiple organ failure, and autopsy revealed ileo-ileal intussusception without a recognizable anatomical leading point. Possible mechanisms for this rare clinical entity are discussed.