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Spontaneous perforation of the stomach in the neonate
Abstract:
Three full-term female neonates developed gastric perforation during their first week of life. All three experienced severe postnatal asphyxia and improved following resuscitation. A linear perforation located in the prepyloric area was found in these patients. Direct closure was successfully performed in all three neonates. Asphyxia seems to be a major predisposing factor in neonatal gastric perforations. Focal gastric ischaemia and acid peptic activity may play part in the pathogenesis in these cases.