Spontaneous gastric perforation in a newborn: About a case

Area of Science:

• Neonatal surgery
• Pediatric gastroenterology
• Surgical case report

Background:

• Spontaneous neonatal gastric perforation is an uncommon surgical emergency.
• Early diagnosis and intervention are crucial for favorable outcomes.

Observation:

• A 5-day-old infant presented with acute abdominal distension and bilious vomiting.
• Abdominal radiography revealed massive pneumoperitoneum.
• CT scan identified gastric wall defect and localized pneumoperitoneum.

Findings:

• Laparotomy confirmed a perforation in the anterior gastric wall.
• The perforation was successfully repaired surgically.
• The postoperative recovery was uncomplicated.

Implications:

• This case highlights the importance of timely diagnosis and surgical management of neonatal gastric perforation.
• Prompt surgical repair is associated with favorable outcomes in neonates.
• Early recognition and treatment are key to preventing complications in this rare condition.