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September 26, 1959


Author Affiliations

Fairfield, Ala.

From the Department of Surgery, Lloyd Noland Hospital.

JAMA. 1959;171(4):411-414. doi:10.1001/jama.1959.03010220035010

Perforation of the stomach wall in the new-born infant was first described by Siebold in 1825, and 81 cases have since been reported. Mortality is 81 %. Peptic ulceration was initially considered the cause of perforation, but congenital defects of the stomach wall and other etiological factors have now been defined. The first attempt to close such a perforation was in 1929, but survival after operation was not recorded until 1950. There should be little difficulty in making an early diagnosis and instituting proper treatment, if the possibility is kept in mind. Prompt identification and adequate supportive management during the preoperative and postoperative periods should decrease mortality.