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Updated: May 22, 2026
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International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
Published on: March 12, 2020
Pneumoperitoneum in a Micropremie: Not Always NEC
1Neonatal Intensive Care Unit, John Hunter Children's Hospital, New Lambton, Newcastle, NSW 2305, Australia.
Case Reports in Pediatrics
|May 19, 2012
Summary
Neonatal pneumoperitoneum, a surgical emergency, can result from a perforated Meckel's diverticulum. This rare condition in premature infants requires prompt surgical intervention for a good prognosis.
Area of Science:
- Neonatal surgery
- Pediatric gastrointestinal surgery
- Surgical emergencies
Background:
- Pneumoperitoneum in newborns signifies a ruptured abdominal viscus, a critical surgical emergency.
- Immediate surgical intervention is vital for survival in neonates with pneumoperitoneum.
Observation:
- A preterm female infant (29 weeks, 650g) presented with abdominal distension on day 6.
- Radiography confirmed pneumoperitoneum; laparotomy revealed bowel perforation and inflammation.
Findings:
- Histopathology identified the perforation as Meckel's diverticulum.
- This presentation is exceptionally rare in premature neonates, with only one other case reported in literature.
- Newborn Meckel's perforation often mimics necrotizing enterocolitis.
Implications:
- Preoperative diagnosis of perforated Meckel's diverticulum is challenging but not essential for management.
- Prompt surgical intervention is crucial for favorable outcomes in neonates with isolated perforated Meckel's diverticulum.
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