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Gastric Perforation in the Newborn Infant: Postoperative Wound Evisceration and Survival

Gastric Perforation in the Newborn Infant: Postoperative Wound Evisceration and Survival Abstract Gastric perforation in the newborn infant is a rare entity. Less than one-half of the recorded cases have had surgical exploration, and approximately only one in three of those undergoing surgery has survived. Usually exploration is done too late or the correct diagnosis is made at necropsy. Perforation of the stomach (and duodenum) must be considered in the differential diagnosis of the acute abdomen in the neonatal period to ensure earlier closure of the perforation and a higher survival rate. This is the 12th report of a survival of gastric perforation in a newborn infant. The patient is of additional interest because the infant survived despite a postoperative wound evisceration. Report of Case A 6 lb. 12 oz. white boy was born at Garfield Memorial Hospital, Washington, D. C., on March 23, 1956. The mother was a 29-year-old primagravida, and the labor was uncomplicated. The baby appeared normal at birth References 1. Bird, C. E.; Limper, M. A., and Mayer, J. M.: Surgery in Peptic Ulceration of Stomach and Duodenum in Infants and Children , Ann. Surg. 114:526, 1941.Crossref 2. Cushing, H.: Peptic Ulcers and Interbrain (Balfour Lecture) , Surg. Gynec. & Obst. 55:1, 1932. 3. Gross, R. E.: The Surgery of Infancy and Childhood , Philadelphia, W. B. Saunders Company, 1953, pp. 53-54. 4. Guthrie, K. J.: Peptic Ulcer in Infancy and Childhood with Review of Literature , Arch. Dis. Childhood 17:82, 1942. 5. Herbut, P. A.: Congenital Defect in the Musculature of the Stomach with Rupture in a Newborn Infant , Arch. Path. 36:91, 1943. 6. Hutchins, L. R.: Peptic Ulcer in Children: Case Report of Perforation , Northwest Med. 43:40, 1944. 7. Jenkins, H. P.: A Clinical Study of Catgut in Relation to Abdominal Wound Disruption , Surg. Gynec. & Obst. 64:648, 1937. 8. Kellogg, H. G.; Abelson, S. M., and Cornwall, F. A.: Perforation of the Stomach in Newborn Infant , J. Pediat. 39:357, 1951. 9. Léger, J. L.; Ricard, P. M.; Leonard, C., and Piette, J.: Ulcère gastrique perforé chez un nouveau-né avec survie , Union méd. Canada 79: 1277, 1950. 10. Miller, R. A.: Observations on Gastric Acidity During the First Month of Life , Arch. Dis. Childhood 16:22, 1941. 11. Potter, E. L.: Pathology of the Fetus and Newborn , Chicago, The Year Book Publishers, Inc., 1952, pp. 295-296. 12. Proctor, O. S.: Chronic Peptic Ulcer in Children , Surg. Gynec. & Obst. 41:63, 1925. 13. Siebold, cited by Thiele, P.: Über Geschwürsbildungen des Gastro-duodenal-tractus im Kindesalter , Ergebn. inn. Med. u. Kinderh. 16:302, 1919. 14. Stern, M. A.; Perkins, E. L., and Nessa, N. J.: Perforated Gastric Ulcer in a 2-Day-Old Infant , Journal-Lancet 49:492, 1929. 15. Vargas, L. L.; Levin, S., and Santulli, T. V.: Rupture of the Stomach in the Newborn Infant , Surg. Gynec. & Obst. 101:417, 1955. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Journal of Diseases of Children American Medical Association

Gastric Perforation in the Newborn Infant: Postoperative Wound Evisceration and Survival

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References (16)

Publisher
American Medical Association
Copyright
Copyright © 1957 American Medical Association. All Rights Reserved.
ISSN
0096-6916
DOI
10.1001/archpedi.1957.04030040038005
Publisher site
See Article on Publisher Site

Abstract

Abstract Gastric perforation in the newborn infant is a rare entity. Less than one-half of the recorded cases have had surgical exploration, and approximately only one in three of those undergoing surgery has survived. Usually exploration is done too late or the correct diagnosis is made at necropsy. Perforation of the stomach (and duodenum) must be considered in the differential diagnosis of the acute abdomen in the neonatal period to ensure earlier closure of the perforation and a higher survival rate. This is the 12th report of a survival of gastric perforation in a newborn infant. The patient is of additional interest because the infant survived despite a postoperative wound evisceration. Report of Case A 6 lb. 12 oz. white boy was born at Garfield Memorial Hospital, Washington, D. C., on March 23, 1956. The mother was a 29-year-old primagravida, and the labor was uncomplicated. The baby appeared normal at birth References 1. Bird, C. E.; Limper, M. A., and Mayer, J. M.: Surgery in Peptic Ulceration of Stomach and Duodenum in Infants and Children , Ann. Surg. 114:526, 1941.Crossref 2. Cushing, H.: Peptic Ulcers and Interbrain (Balfour Lecture) , Surg. Gynec. & Obst. 55:1, 1932. 3. Gross, R. E.: The Surgery of Infancy and Childhood , Philadelphia, W. B. Saunders Company, 1953, pp. 53-54. 4. Guthrie, K. J.: Peptic Ulcer in Infancy and Childhood with Review of Literature , Arch. Dis. Childhood 17:82, 1942. 5. Herbut, P. A.: Congenital Defect in the Musculature of the Stomach with Rupture in a Newborn Infant , Arch. Path. 36:91, 1943. 6. Hutchins, L. R.: Peptic Ulcer in Children: Case Report of Perforation , Northwest Med. 43:40, 1944. 7. Jenkins, H. P.: A Clinical Study of Catgut in Relation to Abdominal Wound Disruption , Surg. Gynec. & Obst. 64:648, 1937. 8. Kellogg, H. G.; Abelson, S. M., and Cornwall, F. A.: Perforation of the Stomach in Newborn Infant , J. Pediat. 39:357, 1951. 9. Léger, J. L.; Ricard, P. M.; Leonard, C., and Piette, J.: Ulcère gastrique perforé chez un nouveau-né avec survie , Union méd. Canada 79: 1277, 1950. 10. Miller, R. A.: Observations on Gastric Acidity During the First Month of Life , Arch. Dis. Childhood 16:22, 1941. 11. Potter, E. L.: Pathology of the Fetus and Newborn , Chicago, The Year Book Publishers, Inc., 1952, pp. 295-296. 12. Proctor, O. S.: Chronic Peptic Ulcer in Children , Surg. Gynec. & Obst. 41:63, 1925. 13. Siebold, cited by Thiele, P.: Über Geschwürsbildungen des Gastro-duodenal-tractus im Kindesalter , Ergebn. inn. Med. u. Kinderh. 16:302, 1919. 14. Stern, M. A.; Perkins, E. L., and Nessa, N. J.: Perforated Gastric Ulcer in a 2-Day-Old Infant , Journal-Lancet 49:492, 1929. 15. Vargas, L. L.; Levin, S., and Santulli, T. V.: Rupture of the Stomach in the Newborn Infant , Surg. Gynec. & Obst. 101:417, 1955.

Journal

A.M.A. Journal of Diseases of ChildrenAmerican Medical Association

Published: Sep 1, 1957

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