All issues > Volume 30(4); 1987

Original Article

J Korean Pediatr Soc. 1987;30(4):450-455. Published online April 30, 1987.

Three Cases of Spontaneous Neonatal Gastric Perforation.

Wha Mo Lee¹, Hye Jin Lim¹, Son Sang Seo¹, Jung Woo Yang²

¹Department of Pediatrics, Il Sin Christian Hospital, Pusan, Korea
²Department of Surgery, Il Sin Christian Hospital, Pusan, Korea

Abstract

Three cases of spontaneous neonatal gastric perforation seen at II Sin Christian Hosp, between 1981 and 1985 were seen in all reported with brief literature review. Of the three cases, two occurred in males and one in female. One case was prematurity and other two cases were small for gestational age. All perforations occurred within first five days. Respiratory difficulty and abdominal distension with radiographic demonstration of pneumoperitoneum was seen in all patients. Radiographic demonstration of pneumomediastinum was seen in one case. All cases underwent surgical repairs. In the location, one case was on the greater curvature of the fundus and two cases on the lesser curvature of the stomach. The size of the perforation varied from 0.3 cm-3 cm in diameter. Two cases were survied and one case died in the early post-operative period(2hr).

Keywords :Spontaneous neonatal gastric perforation.