June 1958

Idiopathic Perforation of the Stomach in the Newborn

Author Affiliations

Salt Lake City
From the Department of Surgery, University of Utah College of Medicine, and Surgical Services of Holy Cross Hospital and Dr. W. H. Grover Latter-Day Saints Hospital.

AMA Arch Surg. 1958;76(6):874-881. doi:10.1001/archsurg.1958.01280240032005

The purpose of this paper is to report three cases of what we propose to call "idiopathic perforation of the stomach in the newborn," and to attempt to crystallize and define this condition as a definite entity by a careful review and analysis of the literature and by splitting off a group of cases which we feel fit our criteria. This task has proved to be a difficult and frustrating one because the literature on this subject includes conditions with many different etiologies.

Siebold, in 1825,44 reported the first case of perforation of the stomach in the newborn, a case of perforated gastric ulcer in a 2-day-old infant. The first attempt to repair a gastric perforation in the newborn was by Stern,43 in 1929. Unfortunately, this case was unsuccessful. In 1950 both Leger and his group23 and Ross, Hill, and Haas37 reported successful repairs of gastric

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