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2015 ; 4
(2
): 14
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Spontaneous intestinal perforation in neonates
#MMPMID26034708
Tiwari C
; Sandlas G
; Jayaswal S
; Shah H
J Neonatal Surg
2015[Apr]; 4
(2
): 14
PMID26034708
show ga
BACKGROUND: The term Spontaneous Intestinal Perforation (SIP) suggests a
perforation in the gastrointestinal tract of a newborn with no demonstrable
cause. METHODS: Four neonates presenting with spontaneous bowel perforation were
analyzed with respect to clinical presentation, management and outcome. RESULTS:
The mean age at presentation was 11.4 days. There were three males and one
female. One of the neonates was preterm, very low birth weight and the other
three were full term. Two neonates underwent emergency exploratory laparotomy and
two were initially managed by peritoneal drainage in view of poor general
condition; one of them improved and did not require further operative
intervention. The preterm very low birth weight neonate was stabilized and
explored after 48 hours. Intra-operatively, two of them had two ileal
perforations each which required ileostomy; one had single perforation in the
transverse colon which was primarily repaired. All four had an uneventful
recovery. CONCLUSION: SIP is a distinct clinical entity and has better outcome
than neonates with intestinal perforation secondary to Necrotizing Enterocolitis
(NEC).
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