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Neonatal gastric perforations: are they really spontaneous?
Gaurav Gupta1, Sachin Kumar1, Sangeeta Gupta2
1Department of Surgery, Maharishi Markandeshwar Institute of Medical Sciences & Research, Mullana, Ambala, Haryana India.
The Indian Journal of Surgery
|October 4, 2014
Summary
A newborn experienced sudden abdominal swelling and shock due to a stomach perforation. Emergency surgery successfully repaired the perforation, saving the infant.
Area of Science:
- Pediatric Surgery
- Neonatal Gastroenterology
- Abdominal Emergencies
Background:
- Gastric perforation is a rare but life-threatening condition in neonates.
- Early diagnosis and surgical intervention are critical for survival.
Purpose of the Study:
- To report a case of neonatal gastric perforation.
- To highlight the importance of prompt surgical management.
Main Methods:
- A 4-day-old male infant presented with rapid abdominal distension and shock.
- Abdominal radiography revealed free gas under the diaphragm.
- Emergency laparotomy identified a gastric perforation in the greater curvature.
Main Results:
- The perforated stomach wall was excised and sutured.
- The infant's condition stabilized post-operatively.
Conclusions:
- Neonatal gastric perforation requires immediate surgical repair.
- Timely laparotomy can lead to favorable outcomes in these critical cases.
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