Soonchunhyang Med Sci.  2016 Jun;22(1):71-74. 10.0000/sms.2016.22.1.71.

Idiopathic Pneumoperitoneum in a Premature Infant

Affiliations
  • 1Department of Pediatrics, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea. joonanii@schmc.ac.kr

Abstract

Pneumoperitoneum is generally a surgical emergency that needs immediate surgical intervention to improve survival in neonates. Its main etiologies include necrotizing enterocolitis, secondary meconium ileus, intestinal obstruction, or various other causes such as gastric perforation from the insertion of a nasogastric tube. However, pneumoperitoneum can rarely present without any gastrointestinal perforation. This condition has been called nonsurgical, asymptomatic, benign, misleading, spontaneous, or idiopathic pneumoperitoneum. In this report, a rare case of pneumoperitoneum in a premature infant is presented, the definite cause of which was not found even after an explorative laparotomy.

Keyword

Idiopathic; Pneumoperitoneum; Premature infant

MeSH Terms

Emergencies
Enterocolitis, Necrotizing
Humans
Ileus
Infant, Newborn
Infant, Premature*
Intestinal Obstruction
Laparotomy
Meconium
Pneumoperitoneum*
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