Neonatal gastric perforation
Vomiting. Distended abdomen.
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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.
This patient proceeded to theater, where a gastric perforation was confirmed. The etiology of neonatal gastric perforation is largely unknown. It is a rare disease with a high mortality, especially among premature infants.
- Lin C, Lee H, Kao H et-al. Pediatrics & Neonatology. 2008;49 (3): . doi:10.1016/S1875-9572(08)60015-7