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Spontaneous Intestinal Perforation in Neonates

Background: The term Spontaneous Intestinal Perforation (SIP) suggests a perforation in the gastrointestinal tract of a newborn with no demonstrable cause. Methods: Four neonates presenting with spontaneous bowel perforation were analyzed with respect to clinical presentation, management and outcome...

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Autores principales: Tiwari, Charu, Sandlas, Gursev, Jayaswal, Shalika, Shah, Hemanshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: EL-MED-Pub 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4447467/
https://www.ncbi.nlm.nih.gov/pubmed/26034708
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author Tiwari, Charu
Sandlas, Gursev
Jayaswal, Shalika
Shah, Hemanshi
author_facet Tiwari, Charu
Sandlas, Gursev
Jayaswal, Shalika
Shah, Hemanshi
author_sort Tiwari, Charu
collection PubMed
description Background: The term Spontaneous Intestinal Perforation (SIP) suggests a perforation in the gastrointestinal tract of a newborn with no demonstrable cause. Methods: Four neonates presenting with spontaneous bowel perforation were analyzed with respect to clinical presentation, management and outcome. Results: The mean age at presentation was 11.4 days. There were three males and one female. One of the neonates was preterm, very low birth weight and the other three were full term. Two neonates underwent emergency exploratory laparotomy and two were initially managed by peritoneal drainage in view of poor general condition; one of them improved and did not require further operative intervention. The preterm very low birth weight neonate was stabilized and explored after 48 hours. Intra-operatively, two of them had two ileal perforations each which required ileostomy; one had single perforation in the transverse colon which was primarily repaired. All four had an uneventful recovery. Conclusion: SIP is a distinct clinical entity and has better outcome than neonates with intestinal perforation secondary to Necrotizing Enterocolitis (NEC).
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spelling pubmed-44474672015-06-01 Spontaneous Intestinal Perforation in Neonates Tiwari, Charu Sandlas, Gursev Jayaswal, Shalika Shah, Hemanshi J Neonatal Surg Original Article Background: The term Spontaneous Intestinal Perforation (SIP) suggests a perforation in the gastrointestinal tract of a newborn with no demonstrable cause. Methods: Four neonates presenting with spontaneous bowel perforation were analyzed with respect to clinical presentation, management and outcome. Results: The mean age at presentation was 11.4 days. There were three males and one female. One of the neonates was preterm, very low birth weight and the other three were full term. Two neonates underwent emergency exploratory laparotomy and two were initially managed by peritoneal drainage in view of poor general condition; one of them improved and did not require further operative intervention. The preterm very low birth weight neonate was stabilized and explored after 48 hours. Intra-operatively, two of them had two ileal perforations each which required ileostomy; one had single perforation in the transverse colon which was primarily repaired. All four had an uneventful recovery. Conclusion: SIP is a distinct clinical entity and has better outcome than neonates with intestinal perforation secondary to Necrotizing Enterocolitis (NEC). EL-MED-Pub 2015-04-01 /pmc/articles/PMC4447467/ /pubmed/26034708 Text en Copyright: © 2015 JNS http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Tiwari, Charu
Sandlas, Gursev
Jayaswal, Shalika
Shah, Hemanshi
Spontaneous Intestinal Perforation in Neonates
title Spontaneous Intestinal Perforation in Neonates
title_full Spontaneous Intestinal Perforation in Neonates
title_fullStr Spontaneous Intestinal Perforation in Neonates
title_full_unstemmed Spontaneous Intestinal Perforation in Neonates
title_short Spontaneous Intestinal Perforation in Neonates
title_sort spontaneous intestinal perforation in neonates
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4447467/
https://www.ncbi.nlm.nih.gov/pubmed/26034708
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