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September 1957

Gastric Perforation in the Newborn Infant: Postoperative Wound Evisceration and Survival

Author Affiliations

Washington, D. C.
From The Children's Hospital and Surgical Department, Georgetown University Hospital.

AMA Am J Dis Child. 1957;94(3):252-257. doi:10.1001/archpedi.1957.04030040038005

Gastric perforation in the newborn infant is a rare entity. Less than one-half of the recorded cases have had surgical exploration, and approximately only one in three of those undergoing surgery has survived. Usually exploration is done too late or the correct diagnosis is made at necropsy. Perforation of the stomach (and duodenum) must be considered in the differential diagnosis of the acute abdomen in the neonatal period to ensure earlier closure of the perforation and a higher survival rate. This is the 12th report of a survival of gastric perforation in a newborn infant. The patient is of additional interest because the infant survived despite a postoperative wound evisceration.

Report of Case  A 6 lb. 12 oz. white boy was born at Garfield Memorial Hospital, Washington, D. C., on March 23, 1956. The mother was a 29-year-old primagravida, and the labor was uncomplicated. The baby appeared normal at birth

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