Lehlimi M, Fadil F, Ferram N, Benali K, Hammoumi Z, Habzi A, Sbai H, Benomar S
Service de néonatologie et de réanimation néonatale, hôpital A. Harouchi, CHU Ibn Rochd, Casablanca, Maroc.
Arch Pediatr. 2013 Sep;20(9):979-81. doi: 10.1016/j.arcped.2013.06.007. Epub 2013 Jul 19.
Gastric pneumatosis is a rare pathology. Its occurrence in the neonatal period requires looking for ulcerative-necrotizing enterocolitis in a context of prematurity or an underlying surgical obstacle. We report a case of gastric pneumatosis at a newborn child born at term, admitted on the third day of life for neonatal occlusion with a flat stomach. The abdomen without preparation showed substantial gastric distension with aspects of gastric pneumatosis and embellishes with images showing a double gastric bubble. The surgical exploration showed gastric pneumatosis, complete duodenal atresia located at the level of the second duodenal portion, and an annular pancreas. Progression was favorable after duodenostomy.