Recurrent Gastric Perforation in a Neonate Recovered after Primary Surgical Repair and Percutaneous Peritoneal Drainage

Hye Rim Park; Ji Eun Ryu; Sung-Hoon Chung; Yong-Sung Choi

doi:10.14734/kjp.2015.26.4.360

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Park, Ryu, Chung, and Choi: Recurrent Gastric Perforation in a Neonate Recovered after Primary Surgical Repair and Percutaneous Peritoneal Drainage

Case Report

Korean J Perinatol 2015;26(4):360-364.

Published online: 20 December 2015

DOI: https://doi.org/10.14734/kjp.2015.26.4.360

Recurrent Gastric Perforation in a Neonate Recovered after Primary Surgical Repair and Percutaneous Peritoneal Drainage

Hye Rim Park, M.D.¹, Ji Eun Ryu, M.D.¹, Sung-Hoon Chung, M.D., Ph.D.², Yong-Sung Choi, M.D., Ph.D.^1,

¹Department of Pediatrics, Kyung Hee University Medical Center, Seoul, Korea

²Department of Pediatrics, Kyung Hee University Hospital at Gangdong, Seoul, Korea

Correspondence to: Yong-Sung Choi, M.D. Department of Pediatrics, Kyung Hee University Medical Center, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Korea Tel: +82-2-958-2921, Fax: +82-2-958-8304 E-mail: feelhope@gmail.com

Received 8 September 2015 Revised 16 October 2015 Accepted 21 October 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Neonatal gastric perforation is a rare but fatal disease, occurred mainly in preterm infants. In general, primary surgical repair is the main treatment. To the best of our knowledge, there has been only one report of improvement of gastric perforation in neonates after percutaneous peritoneal drainage alone. We describe a case of gastric perforation in a premature extremely low-birth-weight infant girl of 25⁺⁴ weeks gestational age. We present this case to emphasize that gastric perforation may improve with percutaneous peritoneal drainage.

Keywords: Extremely Low Birth Weight Infant, Gastric Perforation, Drainage

References

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Fig. 1.

(A) On the 7^th day of life, plain abdomen shows marked small bowel distension and free air in subdiaphragmatic area. (B) At the same day, a lateral abdominal X-ray shows marked free air. (C) On the 9^th day of life, plain abdomen X-ray shows pneumoperitoneum. (D) Jackson-Pratt tube inserted into the peritoneum. (E) Plain abdomen on the 20^th day of life. Abdominal distension is markedly decreased, and subdiaphragmatic free air is almost disappeared. Jackson-Pratt tube was removed the next day.

Fig. 2.

Hemo- and pneumoperitoneum at the posterior aspect of the stomach lower body and antrum were identified by abdominal sonography.

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