Antenatal ileal perforation in preterm neonate-a rare presentation of spontaneous intestinal perforation
DOI:
https://doi.org/10.18203/2349-3291.ijcp20242749Keywords:
Perforation, Pneumoperitoneum, Necrotizing enterocolitisAbstract
We report a case of 28 weeks gestational Age preterm neonate born via lower segment cesarian section who presented with gross pneumoperitoneum immediately after birth. Abdominal drain was inserted as a lifesaving procedure followed by laparotomy after stabilizing the child. Intraoperatively there was sealed ileal perforation which was managed surgically. Pneumoperitoneum secondary to antenatal ileal perforation is a rare manifestation of spontaneous intestinal perforation (SIP).
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References
Hyginus EO, Jideoffor U, Victor M. Gastrointestinal perforation in neonates: aetiology and risk factors. J Neonatal Surg. 2013;2(3):30.
Emil S, Davis K, Ahmad I, Strauss A. Factors associated with definitive peritoneal drainage for spontaneous intestinal perforation in extremely low birth weight neonates. Eur J Pediatr Surg. 2008;18(2):80-5.
Kawase Y, Ishii T, Arai H, Uga N. Gastrointestinal perforation in very low-birthweight infants. Pediatr Int. 2006;48(6):599-603.
Krishnan P, Lotfollahzadeh S. Spontaneous Intestinal Perforation of the Newborn. In: StatPearls. Treasure Island (FL): StatPearls Publishing. 2024.
Elgendy MM, Othman HF, Heis F, Ibrahim Q, Hany A. Spontaneous intestinal perforation in premature infants: a national study. J Perinatol. 2021;41(5):1122-8.
Moss RL, Dimmitt RA, Barnhart DC, Sylvester KG, Brown RL, Powell DM, et al. Laparotomy versus peritoneal drainage for necrotizing enterocolitis and perforation. N Engl J Med. 2006;354(21):2225-34.
Lin CM, Lee HC, Kao HA, Hung HY, Hsu CH, Yeung CY, et al. Neonatal gastric perforation: report of 15 cases and review of the literature. Pediatr Neonatol. 2008;49(3):65-70.