January 1962

Perforation of the Stomach in a Newborn Infant

Author Affiliations

William R. Purcell, M.D., Department of Pediatrics, Medical College Hospital, 55 Doughty St.; Department of Pediatrics, Medical College of South Carolina and Pediatric Services, Columbia Hospital of Richland County.

Am J Dis Child. 1962;103(1):66-71. doi:10.1001/archpedi.1962.02080020070011

To my knowledge only 12 cases of ruptured stomach in newborn infants with survival have appeared in the literature. The 13th survivor is the basis for this report.

Report of Case  A Negro female infant who weighed 2,948 gm. at birth, was born at the Columbia Hospital of Richland County on March 15, 1960. The membranes had ruptured 10 hours prior to delivery, and the amniotic fluid was meconium stained. At birth the infant was flaccid, taking only occasional gasping breaths. She responded to stimulation with slight muscle movement but no cry. Copious amounts of mucus and meconium-stained amniotic fluid were removed from the nose and mouthwith a bulb syringe, N-allylnormorphine hydrochloride was given, and positive pressure oxygen was administered using a resuscitator with a rubber face mask. By age 14 minutes regular respirations were established, and a few minutes later the patient had a weak cry.At age

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