Multiple ileo-ileal intussusception associated with duodenal atresia in a 5-day-old infant: case report | ||||
| Annals of Pediatric Surgery | ||||
| Volume 16, Issue 1, January 2020 PDF (4.52 MB) | ||||
| DOI: 10.1186/s43159-020-00049-5 | ||||
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| Authors | ||||
Gilang Vigorous Akbar Eka Candy; Supangat Supangat 
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| Abstract | ||||
| Background Intussusception is the most common intestinal obstruction among infants and young children. Most of the pediatric cases are ileo-cecal, while jejuno-jejunal and ileo-ileal combined contribute only 2.5% of the cases. Case presentation A 5-day-old child presented with recurrent non-bilious vomiting since birth. Physical examination revealed a slightly distended abdomen. A plain radiograph revealed a countable bubble appearance. The initial clinical diagnosis was gastric outlet obstruction. During surgery, we discovered multiple ileo-ileal intussusception associated with duodenal atresia. We manually reduced the intussusceptions and bypassed the duodenal atresia using Kimura’s procedure. We did not find any significant morbidity in the post-operative phase. Conclusion Multiple ileo-ileal intussusception rarely associates with duodenal atresia. In our case report, the intussusceptions might be indirectly caused by duodenal atresia through various pathophysiology. Other unusual findings also supported this suggestion. | ||||
| Keywords | ||||
| Case Report; Duodenal atresia; Multiple intussusception | ||||
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