Acute Perforation of the Alimentary Tract in Infancy and Childhood

Cruze, Kenneth; Snyder, William H.

doi:10.1097/00000658-196107000-00013

Cited by 28 publications

(12 citation statements)

References 17 publications

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“…There have been a small number of reports on this condition [1,[4][5][6][7]. The types of IA varied from a high type without a fistula to a low type with a cutaneous fistula.…”

Section: Discussionmentioning

confidence: 99%

“…Idiopathic perforation of the colon in the absence of preexisting mechanical obstruction or NEC is uncommon and encompasses about one third of all colonic perforations [1]. Although some reports suggested that the most likely pathogenesis of idiopathic perforations may be intestinal ischemia, the actual mechanisms remain unclear [14 -19].…”

Section: Discussionmentioning

confidence: 99%

“…Seven of 8 patients, excluding case 1, who died of sudden infant death syndrome at home, had uneventful postoperative courses and survived. The highest mortality in perforation of the colon among neonatal GI perforations was reported in the past [1,22]. In contrast, others reported its lowest mortality [23,24].…”

Section: Discussionmentioning

confidence: 99%

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Perforation of the colon in neonates

Komuro

Urita

Hori

et al. 2005

Journal of Pediatric Surgery

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“…There have been a small number of reports on this condition [1,[4][5][6][7]. The types of IA varied from a high type without a fistula to a low type with a cutaneous fistula.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Perforation of the colon in neonates

Komuro

Urita

Hori

et al. 2005

Journal of Pediatric Surgery

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“…But in our patient there was no feature suggestive of necrotizing enterocolitis neither there was any gross localized ischemia. Mechanical obstruction causes blow out of proximal colon by colonic atresia, imperforate anus, meconium plug, small left colon syndrome, Hirschprung's disease or obstructive bands [6][7][8][9]. But in our patient the features suggestive of these condition were absent.…”

Section: Discussionmentioning

confidence: 70%

Idiopathic Neonatal Colonic Perforation- A Case Report

Dey

Sharma

et al. 2011

Indian J Surg

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Perforation of the transverse colon in neonate is a rare finding in clinical practice. We report a case of Idiopathic neonatal colonic perforation in a twenty-one days old, healthy, female neonate without any demonstrable cause. She presented with abdominal distention and constipation. Abdominal radiograph showed massive pneumoperitoneum. On exploration, transverse colonic perforation was found near splenic flexure area. The perforation was closed primarily. Other than inflammatory fibrin flakes the rest of the large intestine and small bowel appeared normal. Hirschsprung's diseases, necrotizing enterocolitis, small left colon syndrome, atresia, imperforate anus, cystic fibrosis are some causes of colonic perforation in neonates. However none of the clinical features or intra-operative finding of the above conditions could be found in our case. At follow-up, the baby showed normal weight gain without any symptoms.

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“…In pediatric patients, commonly known etiologic factors responsible for GIPs include congenital gastrointestinal anomalies, blunt trauma, intussusception, iatrogenic injury, foreign body ingestion, and other inflammatory conditions such as appendicitis, typhoid, tuberculosis, Crohn disease, and necrotizing enterocolitis [1234]. …”

Section: Introductionmentioning

confidence: 99%

Clinical implication of spontaneous gastrointestinal perforation in pediatric patients: its difference according to age group

et al. 2018

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PurposeSpontaneous gastrointestinal perforations (SGIPs; not associated with injury or disease) occur rarely in pediatric patients. This study aimed to define age-specific features associated with SGIPs in pediatric patients.MethodsRetrospectively reviewed the clinical data of children (before adolescence) who received surgery due to a SGIP at a single institution. Thirty-nine patients were enrolled. Characteristics were compared between the 2 age groups: neonates (group A) and beyond neonates (group B).ResultsGroup A included 24 patients (61.5%) an group B included 15 patients (38.5%). Thirteen perforations occurred in the stomach (33.3%), 12 in the small intestine (30.8%), and 14 in the large intestine (35.9%). A significantly higher proportion of perforations occurred in the stomach and small intestine in group A, while more perforations occurred in the large intestine in group B (P = 0.01). Several associated conditions during the preoperative period were identified in both groups. The overall mortality rate was 15.4% (6 of 39). Mortality was relatively high in group A (5 of 24, 20.8%) and for perforations of stomach (3 of 13, 23.1%) and small intestine (3 of 12, 25.0%); however, there were no significant differences with regard to age or perforation site (P = 0.244, P = 0.122, respectively).ConclusionSGIPs in pediatric patients had diverse clinical features and different perforation patterns according to age group. However, no significant group differences in mortality were found. Thus, favorable results regardless of age can be expected with prompt recognition, medical resuscitation, and adequate surgical management.

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Acute Perforation of the Alimentary Tract in Infancy and Childhood

Cited by 28 publications

References 17 publications

Perforation of the colon in neonates

Perforation of the colon in neonates

Idiopathic Neonatal Colonic Perforation- A Case Report

Clinical implication of spontaneous gastrointestinal perforation in pediatric patients: its difference according to age group

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