Recurrent Gastric Perforation in a Neonate Recovered after Primary Surgical Repair and Percutaneous Peritoneal Drainage

Abstract

Neonatal gastric perforation is a rare but fatal disease, occurred mainly in preterm infants. In general, primary surgical repair is the main treatment. To the best of our knowledge, there has been only one report of improvement of gastric perforation in neonates after percutaneous peritoneal drainage alone. We describe a case of gastric perforation in a premature extremely low-birth-weight infant girl of 25 +4 weeks gestational age.We present this case to emphasize that gastric perforation may improve with percutaneous peritoneal drainage.

Recurrent neonatal gastric perforation: An unusual case report

“…La presentación clínica puede darse con distensión abdominal, vómitos, letargia, heces sanguinolentas, ebre o hematemesis; en la radiografía abdominal la presencia de neumoperitoneo u obstrucción intestinal ( 6 ) son los patrones observados . Los hallazgos quirúrgicos revelan que la perforación, si bien puede producirse en cualquier localización de la pared gástrica, se da con mayor frecuencia en la cara anterior, adyacente a la curvatura mayor (50% a 64% de los (2,4) casos) .…”