2020 Volume 56 Issue 6 Pages 1021-1026
We herein report the first case of neonatal intussusception that we have experienced, which was treated by enema reduction, in our neonatal intensive care unit that supports over 700 cases per year. The patient was a three-day-old full-term male infant. On the second night of life, some red mucus was found mixed with his green feces. The next morning, he was referred to our hospital with a moderate amount of bloody mucous stool. There was no abdominal distention, but a sausage-like mass was palpable on the right side of his abdomen. Abdominal ultrasonography revealed multiple concentric ring signs, on the basis of which he was diagnosed as having ileo-colic intussusception. An enema reduction was attempted 19 h after the onset, and the patient was cured noninvasively. There was no subsequent recurrence. Although intussusception in the neonatal period is rare, the diagnosis of this case was easily made by ultrasonography. In cases of ileo-colic intussusception in full-term neonates with a good general condition and no findings suggesting intestinal necrosis, it seems reasonable to attempt enema reduction safely under preparation of an emergent laparotomy at the time of perforation.
