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Spontaneous Neonatal Gastric Perforation: About Two Cases Treated with Success in Cotonou

Journal: Pediatrics & Neonatal Biology Open Access (PNBOA) (Vol.5, No. 2)

Publication Date:

Authors : ; ;

Page : 1-4

Keywords : Gastric perforation; Newborn; Treatment; Benin;

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Abstract

Neonatal gastric perforation is rare with a serious prognosis. Over a period of 10 years we had two cases successfully treated in our departments. Cases: It was a girl and a boy, vaginely delivered in the same year. The pregnancy was well followed in the first case and badly in the second. APGAR score at birth, at 2700 g girl was 10-10-10, and at 2900 g boy at 7-7-8 after resuscitation. On admission, newborns were cyanotic, tachycardic and tachypnotic; there was abdominal distension with diffuse abdominal tympanism, occurring on the second day, and scrotal swelling in addition for the boy. The abdominal X-rays objectified a massive pneumoperitoneum in the shape of a “saddle horse”. Laparotomy found gastric perforation in the area of parietal hypoplasia in both cases. An excision suture had been performed. The postoperative course was simple. Conclusion: Spontaneous neonatal gastric perforation is rare. Early diagnosis and management had resulted in a favourable outcome of the cases.

Last modified: 2023-07-05 14:26:46