Intrauterine Intussusception
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Khalilah Alhuda Binti Kamilen ◽  
Mohd Yusran Othman

Intussusception is a well-known cause of intestinal obstruction in children. Its occurrence in fetus as an intrauterine incidence is extremely rare and poses a diagnostic difficulty. Intrauterine intussusception may result in intestinal atresia once the gangrenous segment resorbed. However, a very late occurrence of intussusception just prior to delivery may present as meconium peritonitis. We are reporting a case of premature baby who was born at 35 weeks gestation via emergency caesarean for breech in labour. Routine scan 4 days prior to the delivery showed evidence of fetal ascites. She was born with good Apgar Score and weighed 2.5kg. Subsequently she developed respiratory distress syndrome requiring mechanical ventilation. She passed minimal meconium once after birth then developed progressive abdominal distension and vomiting. Abdominal radiograph on day 4 of life revealed gross pneumoperitoneum and bedside percutaneous drain was inserted to ease the ventilation. Upon exploratory laparotomy, a single ileal perforation was seen 20cm from ileocecal junction with an intussusceptum was seen in the distal bowel. Gross meconium contamination and bowel edema did not favour the option of primary anastomosis, thus stoma was created. Reversal of stoma was performed a month later and she recovered well. Fetus with a complicated intrauterine intussusception may present with fetal ascites and their postnatal clinical and radiological findings need to be carefully assessed for evidence of meconium peritonitis; in which a timely surgical intervention is required to prevent the sequelae of prolonged intraabdominal sepsis in this premature baby.International Journal of Human and Health Sciences Supplementary Issue-2: 2021 Page: S18

2021 ◽  
Vol 100 (1) ◽  
pp. 233-239
Yu.A. Kozlov ◽  
A.A. Rasputin ◽  
K.A. Kovalkov ◽  
S.S. Poloyan ◽  

Intestinal invagination is a disease that is most commonly found in children from 3 months to 3 years old. Invagination has also been described as the intrauterine cause of intestinal atresia. Objective of the research: to demonstrate 3 clinical cases when intrauterine invagination caused congenital intestinal obstruction of the small intestine. The study describes the experience of surgical treatment of 3 patients with atresia of the small intestine type I and type IIIA due to intussusception that occurred during the prenatal period. Two patients underwent intestinal anastomosis using laparotomy. In one patient, the intestinal anastomosis was performed in a laparoscopic manner. The early and long-term results of operations are investigated. Successful surgical treatment of atresia of the small intestine due to intrauterine invagination was possible in all 3 patients. Two patients had type IIIA atresia (separation of segments with a V-shaped defect of the mesentery), one – type I (membranous form) of this anomaly. The gender composition of the patients is represented by 2 girls and 1 boy. The weight of patients was in the range of 1280–2800 grams. Surgical treatment for all patients was performed on the 2nd day of life. The duration of the operation ranged from 60 to 65 minutes. Start enteral nutrition was possible in the range from 2 to 3 days after surgery. Full enteral nutrition is restored within 5 to 8 days after surgery. In the early follow up period after surgery, there were no signs of failure of the anastomosis. During the observation of patients from 6 months to 1 year, there were no signs of impaired intestinal transit. Intrauterine invagination is a rare cause of intestinal atresia. This disease has a good prognosis provided timely intervention and the absence of associated abnormalities. Laparoscopy in an expert children's surgical center can be an alternative in the treatment of patients with jejuno-ileal atresia caused by intrauterine invagination.

2017 ◽  
Vol 8 (2) ◽  
pp. 15
Sirajuddin Soomro ◽  
Sikandar Ali Mughal ◽  
Fida Hussain Depar

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2014 ◽  
Vol 2 (4) ◽  
pp. 203-205
Taieb Chouikh ◽  
Awatef Charieg ◽  
Chaima Mrad ◽  
Sofiene Ghorbel ◽  
Sofiene Saada ◽  

2011 ◽  
Vol 61 (5) ◽  
pp. 562-564 ◽  
Shobha N. Gudi ◽  
M. R. Bhanuprakash ◽  
V. Suneetha ◽  
Naveen Prasanna

2009 ◽  
Vol 44 (10) ◽  
pp. 2028-2030 ◽  
Carlos Pueyo ◽  
Joaquín Maldonado ◽  
Yolanda Royo ◽  
Robert Skrabski ◽  
Ida Di Crosta ◽  

2008 ◽  
Vol 25 (3) ◽  
pp. 187-187 ◽  
Amulya K. Saxena ◽  
Cornelia van Tuil

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