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Spontaneous neonatal gastric perforation

S B Rosser, C H Clark, E N Elechi

    Journal of Pediatric Surgery
    |August 1, 1982
    PubMed
    Summary

    Spontaneous neonatal gastric perforation, a rare condition, occurred in 1 in 2,900 live births, predominantly in males within the first week of life. Surgical intervention yielded a low operative mortality rate.

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    Area of Science:

    • Neonatal surgery
    • Pediatric gastroenterology
    • Surgical pathology

    Background:

    • Spontaneous neonatal gastric perforation is a rare but serious surgical emergency.
    • Previous literature on incidence and demographics is limited, particularly in specific populations.

    Purpose of the Study:

    • To report on a series of spontaneous neonatal gastric perforation cases.
    • To analyze the incidence, demographics, clinical features, and outcomes of this condition.

    Main Methods:

    • Retrospective review of 16 cases of spontaneous neonatal gastric perforation.
    • Data collection included patient demographics, clinical presentation, surgical management, and outcomes.
    • Analysis of incidence in black populations and male-to-female ratio.

    Main Results:

    • Incidence of 1 per 2,900 live births in the studied population.
    • Condition was over four times more common in males than females.
    • All perforations occurred within the first week of life, located on the greater curvature of the fundus.
    • Operative mortality was 7.5% (1/13); overall mortality was 25% (4/16).
    • Routine gastrostomy was performed; no peritoneal drainage or gastric resection was needed.

    Conclusions:

    • Spontaneous neonatal gastric perforation is more prevalent in males and occurs early in life.
    • Surgical management with gastrostomy appears effective with acceptable outcomes.
    • Further research is needed to understand underlying causes and optimize treatment strategies.

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