A case of spontaneous cervical oesophageal perforation forming a pseudodiverticulum in a 3.6 kg. neonate who presented with poor sucking and fever, is reported. The diagnosis was confirmed by chest x-ray. 83 reported cases of transoesophageal perforation were reviewed, pseudodiverticulum of the oesophagus was documented in 9 cases only; of the 83 reported cases, 14 had spontaneous oesophageal perforation.
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