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Gastric perforation in neonate: A rare complication of birth trauma

Uettwiller, F ; Roullet-Renoleau, N ; Letouze, A ; Lardy, H ; Saliba, E ; Labarthe, F

Journal of pediatric surgery case reports, 2014-04, Vol.2 (4), p.212-214 [Periódico revisado por pares]

Elsevier Inc

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  • Título:
    Gastric perforation in neonate: A rare complication of birth trauma
  • Autor: Uettwiller, F ; Roullet-Renoleau, N ; Letouze, A ; Lardy, H ; Saliba, E ; Labarthe, F
  • Assuntos: Birth trauma ; Gastric perforation ; Neonate ; Pneumoperitoneum ; Surgery
  • É parte de: Journal of pediatric surgery case reports, 2014-04, Vol.2 (4), p.212-214
  • Descrição: Abstract We report the case of a neonate, born at 36 + 5 weeks of gestation, with shoulder dystocia requiring a pair of forceps. The Apgar score was 3/7 at 1 and 5 min requiring resuscitation. He was transferred at 21 h of life (H21) in intensive care unit for an acute abdomen and an oedematous ecchymotic left testis. Biochemical investigation showed severe renal and hepatic failure and disseminated intravascular coagulation. X-Ray examination showed a large pneumoperitoneum with left scrotal pneumatocele. Surgery exploration disclosed hematoma of the 2 adrenal gland, part of the liver and 2 gastric perforations of the anterior part of the large gastric tuberosity, which were sutured; the inguino-scrotal hernia was repaired. In this case report, we discuss the different etiology of neonatal gastric perforation. The two major particularities were the early presentation in life and the suspected mechanism of perforation. Indeed, most of the non idiopathic etiology of neonatal gastric perforation were eliminated and the major birth trauma was the mechanism the most suitable to explain the gastric perforation, possibly by a mechanism of barotrauma. In a context of difficult extraction, an acute abdomen or a scrotal hernia should lead to X-Ray examination; a pneumoperitoneum should lead to surgical examination looking for a gastric perforation.
  • Editor: Elsevier Inc
  • Idioma: Inglês
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