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January 1953

PERFORATION OF THE STOMACH IN THE NEWBORN: Report of Two Cases with Necropsy Findings

Author Affiliations

From the Children's Mercy Hospital, Kansas City.

AMA Am J Dis Child. 1953;85(1):47-51. doi:10.1001/archpedi.1953.02050070054006

PERFORATION stomach in the newborn infant is rare. It is believed that the cases here reported constitute the 21st and 22d instances of such perforation. One of them is the second case of pyloric atresia complicated by perforation.

In a comprehensive review of the literature in 1941, Bird, Limper, and Mayer1 found 245 recorded cases of peptic ulcer in children 15 years of age and under. Of these, 42 were in infants 0 to 14 days of age, with a ratio of duodenal to gastric ulcers of about two to one. It was pointed out that in such ulcers recognized in the early days or months of life, serious bleeding or perforation or both are characteristic. During later childhood, however, the incidence of pyloric stenosis and perforation increases, with a decrease in the incidence of serious hemorrhage.

REPORT OF CASES  Case 1.—T. W., a 3-day-old white boy baby, was

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