NEONATAL GASTRIC PERFORATION WITH SURVIVAL

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Abstract
A case report of an infant with neonatal gastric perforation is presented, together with a review of the English literature. Almost two-thirds of cases of this condition occur in premature infants. Abdominal distention, absent bowel sounds, and dyspnea are the commonest clinical signs, each occurring in 70% or more of the cases. Seventeen of 39 reported patients who were treated surgically within 12 hours of onset of signs or symptoms survived. Operation more than 12 hours after onset has resulted in a sharp increase in mortality. No survivals have been reported without surgery.

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