J Korean Pediatr Soc.  1978 Jan;21(1):54-58.

A Case of Spontaneous Cecal Perforation in the Newborn Infant

• Lim YS
• Ro HS
• Chung S
• Kum DH

Abstract

A case of pneumoperitoneum due to spntaneous cecal perforation was presented with a brief review of the related literature. This baby was born via S.N.V.D. with 3.2kg of birth weight and 40 weeks of gestation without birth trauma, asphyxia & hypoxia. From the 2nd day of life there were jaundice, vomiting and progressive abdominal distention followed by respiratory difficulties. The free air was noticed on the abdominal X-ray filem. On the 3rd day Exploratory operation was performed under the impression of the gastric perforation & revealed pin point sized perforation of the cecal wall with the profused meconism in the transverse colon. Microscopy shows ulceration & perforation with acute inflammation of the cecal wall. The patient was discharged on the 27th hospital day without complication.

MeSH Terms

Anoxia
Asphyxia
Birth Weight
Colon, Transverse
Humans
Infant, Newborn*
Inflammation
Jaundice
Microscopy
Parturition
Pneumoperitoneum
Pregnancy
Ulcer
Vomiting