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[Neonatal gastric necrosis].

A Lapillonne1, O Claris, A Lachaux

  • 1Service de Pathologie et Réanimation Néonatale, Hôpital Edouard-Herriot, Lyon.

Archives Francaises De Pediatrie
|December 1, 1992
PubMed
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Neonatal necrotizing gastritis, a rare condition often linked to perinatal asphyxia, requires prompt diagnosis. While medical management can be effective, surgical intervention is crucial for perforations.

Area of Science:

  • Neonatology
  • Pediatric Surgery
  • Gastroenterology

Background:

  • Neonatal necrotizing gastritis is a rare but serious condition.
  • It is frequently associated with perinatal anoxia or shock.
  • Radiological imaging is key for diagnosis.

Observation:

  • Two cases of neonatal necrotizing gastritis are presented.
  • Case 1 involved a neonate with preeclampsia and perinatal asphyxia, presenting with gastric wall pneumatosis and perforation requiring surgery.
  • Case 2 involved a neonate with perinatal asphyxia and abnormal fetal rhythm, presenting with gastric necrosis and bleeding, managed medically with cimetidine.

Findings:

  • Both cases demonstrated gastric wall pneumatosis and signs of gastric necrosis.
  • Perforation necessitated surgical repair in one case.

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  • Medical management, including cimetidine, was effective in the other case.

    • Implications:

    • Neonatal gastric necrosis shares similarities with necrotizing enterocolitis.
    • Early diagnosis and appropriate management, including surgery for perforation, are vital for favorable outcomes.
    • This condition highlights the importance of recognizing gastrointestinal emergencies in neonates.