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Updated: May 25, 2026

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
Iatrogenic esophageal perforation in the neonate
1Department of Paediatric Surgery, Children's Hospital, Tunis, Tunisia.
Background:
Esophageal perforation is uncommon and often iatrogenic.
Aim:
To report a neonatal case of esophageal perforation.
Case:
A premature newborn boy was admitted with a diagnosis of oesophageal atresia after several unsuccessful attempts to insert an orogastric tube. A chest x-ray showed a "high pouch" with a gasless intestine. At operation, no atresia was found and a large traumatic perforation of the lower cervical segment was identified, requiring cervicotomy and primary closure. Oral feeding was started after 3 weeks. As a result, nosocomial sepsis occurred, causing death in the third month after surgical treatment.
Conclusion:
Oesophageal perforation in the neonate is often iatrogenic and may mimic oesophageal atresia. The authors highlight the importance of early diagnosis and management.
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