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Perforation of the Gastointestinal Tract in Infancy and Childhood.

Journal of the Korean Pediatric Society 1988;31(12):1626-1632.
Published online December 31, 1988.
Perforation of the Gastointestinal Tract in Infancy and Childhood.
S J Lee, Y S Kim, H D Cha, T C Kwon, C M Kang
Department of Pediatrics, Keimyung University School of Medicine, Taegu, Korea
소아 위장관 천공에 대한 임상적 고찰
이순정, 김영수, 차홍대, 권태찬, 강진무
계명대학교 의과대학 소아과학교실
Received: 20 June 1988   • Accepted: 20 June 1988
Thirty-nine patients with perforations of the gastrointestinal tract proved by operation were presented. 35.9% of perforations were between the age of 6-10 year and 20.5% were Neonates. Male to female ratio was 2:1. The cardinal symptom of the perforation was abdominal pain in older child and abdominal distention in the neonates. Abdominal X-ray showed subphrenic free air shadow in 48.7% of the total cases. The subphrenic free air was seen much more (88.9%) in stomach and duodenal perforation than other parts. The location of perforation by order of frequency were ileum, jejunum, duodenum and stomach. The causes of perforation were typhoid fever, ulcer, trauma and intestinal obstruction in order. Necrotizing enterocolitis, meconium ileus and congenital megacolon were the causes of neonatal perforation. The over all mortality was 17.9% while the mortality of Neonatal perforation was 50.0%. The brief review of Literature was made.
Key Words: Perforation Gastrointestinal tract

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