[Severe secondary peritonitis following upper stomach perforation in a full-term mature newborn infant].
A perforation of the stomach is relatively seldom during the newborn period and the first year of life. A wide spectrum of causes has to be considered. The prognosis is determined by prematurity, basic illnesses and combined injuries and essentially by the time of an operation. We report on a mature newborn. At the fourth day a stomach perforation was closed by an operation. A serious diffuse peritonitis and a partial suture insufficiency complicated the postoperative course and necessitated a four-weekly respirator therapy, complete parenteral nutrition for 30 days as well as chemotherapy for several weeks. Altogether a programmed peritoneal lavage has been carried out for 10 times. After 62 days the child could be discharged home in a good condition.
Kläber
H G
HG
Abteilung Neonatologie der Kinderklinik, Carl-Thiem-Klinikum Cottbus.
Papsdorf
H
H
Erler
T
T
D006801:Humans; D007231:Infant, Newborn; D008297:Male; D010289:Parenteral Nutrition, Total; D010533:Peritoneal Lavage; D010538:Peritonitis / Q000209:etiology* / Q000628:therapy; D011183:Postoperative Complications / Q000209:etiology; D012121:Respiration, Artificial; D013275:Stomach Rupture / Q000150:complications* / Q000151:congenital / Q000601:surgery
Schwere sekundäre Peritonitis nach hoher Magenperforation bei einem term-eutrophen Neugeborenen.