Spontaneous gastric rupture in the newborn

Intrauterine gastric perforation

“…The perforation usually occurs within a week after birth [3,4] in patients who have initially fed and stooled without difficulty [5]. Upon perforation, patients develop acute abdominal distention and respiratory distress [6]. Surgical management of the intrauterine gastric perforation in this case was similar to the management for spontaneous neonatal gastric perforation, which includes emergent exploratory celiotomy, closure of perforation with or without gastrostomy, and nasogastric tube placement for gastric decompression and intra-abdominal irrigation.…”

Rare case of gastric perforation with malrotation and volvulus: A case report

“…Gastric perforation in the newborn infant was first described by Siebold in 1825 [1]. Gastric perforation in neonate has always been a catastrophe associated with high morbidity [2]. The high mortality rate reflects to a certain extent the precariousness of the neonatal period, but the process evolves so rapidly that prompt diagnosis is necessary if improved survival rates are to be achieved.…”

“…Neonatal gastric perforation is an unusual surgical emergency with a high mortality [1,2], the causes of which are not definite although literature has cited many theories regarding the pathogenesis of gastric perforation. Here we present a case of neonatal gastric perforation in our hospital in which malrotation and volvulus were the accompanying findings along with gastric perforation.…”

Idiopathic gastric rupture in a 3‐month‐old girl

“…In most adults, the cause of this condition is carcinoma or peptic ulcer, but the pathogenesis of gastric rupture in childhood is unknown (8). Regarding gastric rupture in neonates, there are different hypotheses, such as birth trauma (9), mechanical injury (10), idiopathic (11), congenital muscle defects (12), hypoxia (13) and increased intraluminal pressure (3,14).…”