Lodhia Jay, Msuya David, Philemon Rune, Sadiq Adnan, Mremi Alex
Department of General Surgery, Kilimanjaro Christian Medical Center, Moshi, Tanzania.
Faculty of Medicine, Kilimanjaro Christian Medical University College, Moshi, Tanzania.
J Surg Case Rep. 2020 Aug 26;2020(8):rjaa298. doi: 10.1093/jscr/rjaa298. eCollection 2020 Aug.
Gastric perforation in a neonate is a rare surgical emergency in routine practice. The causes and predisposing factors for gastric perforation in a neonate vary from traumatic to benign conditions like inflammatory processes. Early detection, intensive care, stabilization and prompt surgery yield positive outcome. Early diagnosis is important for better prognosis. Simple investigation such as plain abdominal X-ray can adequately lead to the diagnosis by showing pneumoperinoneum. We present a 3-day-old neonate; born at term who presented with abdominal distension and vomiting. Plain abdominal X-ray revealed pneumoperitoneum. Emergency laparotomy was performed where a gastric perforation was found measuring 0.5 by 0.5 cm located on the anterior aspect of the stomach body near the pylorus. The baby underwent successful surgical intervention and recovered well.
新生儿胃穿孔在常规临床实践中是一种罕见的外科急症。新生儿胃穿孔的病因和诱发因素多种多样，从创伤性到炎症等良性情况均有。早期发现、重症监护、病情稳定及及时手术可带来良好预后。早期诊断对改善预后很重要。像腹部平片这样的简单检查通过显示膈下游离气体就能充分确诊。我们报告一例3日龄足月儿，表现为腹胀和呕吐。腹部平片显示膈下游离气体。行急诊剖腹探查术，发现胃穿孔位于胃体前部靠近幽门处，大小为0.5×0.5厘米。该婴儿接受了成功的手术干预，恢复良好。
