Khan Yousuf Aziz, Akhtar Jamshed
Department of Pediatric Surgery, National Institute of Child Health Karachi, Pakistan.
APSP J Case Rep. 2010 Jul;1(2):15. Epub 2010 Dec 1.
Pneumoperitoneum in neonates is not an uncommon condition. Free air in peritoneum may be secondary to host of pathological lesions. Usually the patient presents with signs of intraperitoneal sepsis, however presence of air in the scrotum as a concomitant sign is a rare event. Herein we report a 4-day-old neonate who presented with 2 days history of fever and scrotal swelling. Abdominal signs were subtle. Scrotum was hugely distended and tense. Workup of the patient revealed free intraperitoneal gas with air in the scrotum. At exploration, two perforations were found near the greater curvature of stomach and repaired. Post-operative course was uneventful.
新生儿气腹并非罕见病症。腹膜内的游离气体可能继发于多种病理病变。通常患者会出现腹膜内感染的体征，然而阴囊内出现气体作为伴随体征则是罕见情况。在此，我们报告一名4日龄新生儿，有2天发热及阴囊肿胀病史。腹部体征不明显。阴囊极度肿胀且紧张。对该患者的检查发现腹膜内有游离气体且阴囊内有气体。探查时，在胃大弯附近发现两个穿孔并进行了修补。术后过程顺利。
