Spontaneous duodenal perforation in neonates

Spontaneous duodenal perforation in a neonate

“…The prevalence of duodenal perforation in newborns is unknown, with the majority of perforations located on the anterior duodenum. [1,3,6,7,8] Although duodenal perforation etiology is unknown, there are two hypotheses. One is a congenital absence of intestinal smooth muscle with intact mucosa and submucosa and the other is ischemic necrosis of the intestinal wall secondary to hypoxia.…”

Duodenal Perforation in a Neonate: An Unusual Presentation and Analysis of the Cause

“…Duodenal perforations in neonates are rare and only a few cases are reported in the English literature. [1][2][3][4] Most of the perforations are on the anterior aspect of the duodenum. We present a case of perforation at the posterior aspect of the second part of the duodenum.…”

“…[1] Neonatal duodenal perforations are rare as there are only a few cases reported in the English Literature. [1][2][3][4] Peptic ulcer disease, enteral tube feeding and the use of ventilators are implicated in its aetiology. In some of the cases no cause could be found and these are reported as "spontaneous" pertaining to a perforation without an obvious cause.…”

Ultrasonographic Evaluation of Nontraumatic Gastrointestinal Emergencies in Children

“…There are varied patterns of adenopathy, ranging from discrete enlarged rounded hypoechoic nodes to matted large conglomerate masses with or without calcification. 23,24 Peritoneal TB: Free or loculated ascites is seen in most cases demonstratable by both USG and CT. However, USG scores over CT in imaging to detect small amount of ascites and to visualize fine, mobile strands of fibrin and debris, characteristic of TB.…”