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Boletín Clínico de la Asociación Médica del Hospital Infantil del Estado de Sonora

2016, Number 2

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Bol Clin Hosp Infant Edo Son 2016; 33 (2)

Gastric perforation in the neonatal period: presentation of two cases and literature review

López CG, Reyes GU, Pacheco BCF, Hernández AJ

Language: Spanish
References: 22
Page: 95-101
PDF size: 329.50 Kb.


ABSTRACT

Gastric perforation in the neonatal period is a rare surgical emergency, it is associated with high morbidity and mortality regardless of the gestational age, with death rates between 70 to 100 percent, clinically presents: vomiting, abdominal distention, and respiratory distress. Pneumoperitoneum is observed at Rx. The most frequently affected site is the greater curvature of the stomach.Two cases of preterm infants between 29 and 30 weeks gestation are reported, whose common characteristic having studied with neonatal asphyxia; they were intervened surgically, surviving both. Conclusions. Every patient preterm perinatal asphyxia, that present with vomiting abdominal distension, difficulty breathing and pneumoperitoneum should be suspected gastric perforation and be operated on of urgency to improve survival.


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