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Three Cases of Spontaneous Neonatal Gastric Perforation.

Journal of the Korean Pediatric Society 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
신생아의 위자연천공 3 례
이화모1, 임혜진1, 서손상1, 양정우2
1부산일신기독병원 소아과
2부산일신기독병원외 과
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).
Key Words: Spontaneous neonatal gastric perforation.


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