Neonatal gastric perforation

Case contributed by Dr Henry Knipe

Presentation

Vomiting. Distended abdomen.

Patient Data

Age: 1 day
Gender: Male
Modality: X-ray

Large volume of intraperitoneal free gas. Bowel loops are dilated with no mural or portal venous gas seen. Gas is present in the rectum.

Lungs are clear. Cardiothymic contour is normal. No bony abnormality noted. Nasogastric tube is below the left hemidiaphragm with the tip projecting over the gastric bubble. 

Case Discussion

This patient proceeded to theatre, where a gastric perforation was confirmed. The aetiology of neonatal gastric perforation is largely unknown. It is a rare disease with a high mortality, especially among premature infants. 

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Case Information

rID: 41871
Case created: 23rd Dec 2015
Last edited: 15th Feb 2016
Inclusion in quiz mode: Included

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