Korean J Perinatol.  2015 Dec;26(4):360-364. 10.14734/kjp.2015.26.4.360.

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

• Park HR
• Ryu JE
• Chung SH
• Choi YS

• KMID: 2164194
• DOI: http://doi.org/10.14734/kjp.2015.26.4.360

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.

Keyword

Extremely Low Birth Weight Infant; Gastric Perforation; Drainage

MeSH Terms

Drainage*
Female
Gestational Age
Humans
Infant, Extremely Low Birth Weight
Infant, Low Birth Weight
Infant, Newborn*
Infant, Premature

Figure

• 

  Fig. 1. (A) On the 7th day of life, plain abdomen shows marked small bowel distension and free air in subdiaphragmatic area. (B) At the same day, a lateral abdominal X-ray shows marked free air. (C) On the 9th day of life, plain abdomen X-ray shows pneumoperitoneum. (D) Jackson-Pratt tube inserted into the peritoneum. (E) Plain abdomen on the 20th day of life. Abdominal distension is markedly decreased, and subdiaphragmatic free air is almost disappeared. Jackson-Pratt tube was removed the next day.

• 

  Fig. 2. Hemo- and pneumoperitoneum at the posterior aspect of the stomach lower body and antrum were identified by abdominal sonography.

Reference

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