DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20204027

Spontaneous neonatal gastric perforation in a very preterm neonate

Kartheeka M. G., Arvind Shenoi, Nilesh Nikhilesh Rao

Abstract


Gastric perforation in neonates is a rare, serious and life-threatening problem. The precise aetiology is obscure in most cases. By virtue of its high mortality rate, it requires prompt recognition and surgical intervention. We report a case of gastric rupture in a very preterm/very low birth weight neonate with antenatal reversal of flow in umblical artery.


Keywords


Gastric perforation, Very preterm neonate, Gastric rupture

Full Text:

PDF

References


Stvil D, Lebouthillier G, Luks FI, Bensoussan AL, Blanchard H, Youssef S. Neonatal gastrointestinal perforations. J Pediatr Surg 1992;27:1340-2.

Houck WS, Griffin JA. Spontaneous linear tear of the stomach in the newborn infant. Ann Surg. 1981;193:763-8.

Touloukian RJ, Posch JN, Spencer R. The pathogenesis of ischemic gastroenterocolitis of the neonate selective gut mucosal ischemia in asphyxiated piglets. J Pediatr Surg. 1972;7:194.

Shaker IJ, Schaefer JA, James AE Jr, White JJ. Aerophagia, a mechanism for spontaneous rupture of the stomach in newborn. Am Surg. 1973;39:619-23.

Grosfeld JL, Molinari F, Chaet M, Engum SA, West KW, Rescorla FJ, et al. Gastrointestinal perforation and peritonitis in infants and children: Experience with 179 cases over ten years. Surg. 1996;120:650-6.

Holcomb GW. Survival after gastrointestinal perforation from esophageal atresia and tracheosophageal fistula. J Pediatr Surg. 1993;28:1532-5.

Ryckman FC. Selected anomalies and intestinal obstruction. In: Avery A, Fanarof AA, Richard J, Martin RJ, editors. Neonatal perinatal medicine diseases of the fetus and infant. 7th ed. USA: Mosby. 2002;1283.

Haddock G, Wesson DE. Congenital anomalies. In: Walker WA, Durie PR, Hamilton JR, Walker-Smith JA, Watkins JB, editors. Pediatric gastrointestinal disease. 3rd ed. Canada: BC Decker. 2000;379-86.

Rosser SB, Clark CH, Elechi EN. Spontaneous neonatal gastric perforation. J Pediatr Surg. 1982;17:390-4.

Jones TB, Kirchner SG, Lee FA, Heller RM. Stomach rupture associated with esophageal atresia, tracheoesophageal fistula and ventilatory assistance. AJR Am J Roentgenol. 1980;134:675-7.