Localized Intestinal Perforation

Abstract

We read with pleasure Buchheit's1 article comparing the clinical findings in 21 preterm infants with localized intestinal perforation (LP) versus those of 21 preterm infants with intestinal perforation secondary to necrotizing enterocolitis (NEC). However, we would be grateful if the authors would clarify two points: 1. How are their 21 cases of LP different from the >500 cases of idiopathic gastrointestinal perforation reviewed by Lloyd in 1979?2 2. The authors hypothesized that the placement of midthoracic umbilical artery catheters (UACs) would be a significant factor in the etiology of LP.