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Spontaneous gastric perforation in a neonate presenting with massive hydroperitoneum
Soo Ah Im1, Gye-Yeon Lim, Seong Tai Hahn
1Kangnam St. Mary's Hospital, The Catholic University of Korea, 505, Banpo-dong Seocho-gu, Seoul, 150-701, Korea.
Abstract:
We report the imaging findings in a case of neonatal spontaneous gastric perforation presenting as massive hydroperitoneum rather than pneumoperitoneum. Plain abdominal radiography showed a diffuse ground-glass opacity with paucity of bowel gas. Subsequent ultrasonography demonstrated numerous echogenic peritoneal fluid collections containing echogenic debris shown at surgery to be due to milk and bile.
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