Almatroud Lanah, Hasan Rashed
College of Human Medicine, Michigan State University, East Lansing, USA.
Pediatrics, Hurley Medical Center, Flint, USA.
Cureus. 2024 Nov 30;16(11):e74819. doi: 10.7759/cureus.74819. eCollection 2024 Nov.
Esophageal perforation (EP) resulting from nonaccidental trauma in a neonate is extremely rare. We report a previously healthy 12-day-old neonate presenting with stridor, respiratory distress, and bloody vomitus. Clinical, radiographic, and endoscopic evaluations confirmed the diagnosis of EP. The patient received respiratory support, remained on nothing by mouth (NPO) status, and was administered parenteral nutrition for seven days until healing was confirmed. Upon resuming oral feeding, the neonate tolerated it well and was discharged home. A follow-up endoscopy, six weeks later, revealed normal findings. Early recognition and treatment of EP are crucial to prevent complications. To our knowledge, this is the youngest reported case of EP due to nonaccidental trauma.
新生儿非意外创伤导致的食管穿孔（EP）极为罕见。我们报告了一例此前健康的12日龄新生儿，出现喘鸣、呼吸窘迫和血性呕吐物。临床、影像学和内镜检查确诊为EP。患者接受了呼吸支持，持续禁食（NPO）状态，并接受了7天的肠外营养，直至确认愈合。恢复经口喂养后，新生儿耐受良好并出院回家。六周后的随访内镜检查显示结果正常。早期识别和治疗EP对于预防并发症至关重要。据我们所知，这是报道的因非意外创伤导致EP的最年幼病例。
