Spontaneous gastroduodenal disruption in neonate.
A 2-day-old female presented with massive abdominal distention and respiratory distress. An erect abdominal X-ray film revealed a pneumoperitoneum of saddlebag configuration. The patient was resuscitated and a peritoneal drain was put through the right flank. Air and bile drained, and the respiratory distress was relieved. After the patient had stabilised haemodynamically, an exploratory laparotomy revealed a total gastroduodenal disruption. A gastrojejunostomy was done; the pyloric and duodenal ends were closed in two layers. The postoperative course was uneventful. We report this case for its unusual and rare presentation.
Kothari
Paras
P
Department of Paediatric Surgery, L.T.M. Medical College and General Hospital, Sion, Bombay-400022, India.
Jiwane
Ashish
A
Kumar
Tarun
T
Deshmukh
Atul
A
Kulkarni
Bharati
B
D004378:Duodenal Diseases / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007416:Intestinal Perforation / Q000150:complications / Q000601:surgery*; D011027:Pneumoperitoneum / Q000000981:diagnostic imaging / Q000209:etiology; D011859:Radiography; D012422:Rupture, Spontaneous; D013272:Stomach Diseases / Q000150:complications / Q000601:surgery*