Introduction:
Intussusception is a common gastrointestinal emergency in the pediatric population. This illness is a conversion in which a portion of the intestine telescopes into another adjacent distal segment of the intestine and causes bowel and ileocolic obstruction. Intussusception is considered a frequent cause of abdominal pain in pediatric patients. It is well described in infants, with an incidence of 0.1 to 0.4 % nonetheless it is less well-established in neonates.1, 2 In fewer than 10% of the patients, a surgical lead point can be determined as a plausible etiology. Cecal duplication as a lead-point of neonatal intussusception is extremely rare. To our knowledge, very few cases of cecal duplication as the cause of intussusception in neonates were reported in medical literature to date.
Case report:
A term male neonate, with a birth weight of 3650g, was referred to our neonatal intensive care unit from a peripheral hospital for the
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Intussusception is a surgical emergency that most commonly affects infants between five and nice months of age. However, neonatal intussusception is a very rare entity and is not well described. It represents 3% of the causes of neonatal intestinal obstruction and 0.3% of all cases of intussusception. 1, 2
The presentation of neonatal intussusception can be vague and misleading due to the rarity of the disease and the non-specificity of its symptomatology.3 The presentation is usually in the form of vomiting and abdominal pain which can mimic necrotizing enterocolitis and may lead to delay in diagnosis. This happens because in intussusception peristalsis is disturbed and lymphatic and venous obstruction occurs causing ischemia. In term neonates, symptoms are very similar to those of other causes of neonatal intestinal obstruction3 while in preterm neonates they are very similar to those of Necrotizing