Intestinal atresia due to intrauterine intussusception:
analysis of 24 cases in Japan
Takuji Todani, Katsusuke Tabuchi, Sanae Tanaka
J Pediatr Surg 10: 445-451, 1975
We have presented two cases of intestinal atresia due
to intrauterine intussusception and reviewed 22 Japanese cases collected
through personal communication. Most of the infants were full-term and without
other malformations; they passed meconium, even though the abdominal scout
film suggested an ileal atresia. On barium enema, a normal size colon was
frequently observed. At operation, the atresia in all cases was single,
and cord or gap type, and their prognoses were excellent. A necrotic intussusceptum
or polypoid protrusion was seen in the distal bowel. These facts strongly
suggest that intrauterine intussusception may occur in a late stage of pregnancy,
and cause the impairment of blood supply to the intestine. The presence
of occult blood in the meconium is indispensable for the diagnosis of these
types of intestinal atresias.
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