Year 2022 / Volume 114 / Number 12
Letter
Pneumoperitoneum from a congenital defect of the gastric musculature

746-747

DOI: 10.17235/reed.2022.8913/2022

Fei Jiang, Jun Li,

Abstract
A neonate at 31 weeks of gestation presented with aggravated abdominal distention on the 2th day after birth. The birth weight was 2110 g. Radiography of the abdomen showed pneumoperitoneum. The neonate was complicated with respiratory distress, electrolyte disturbance and coagulation disorders. Laparoscopic exploration revealed an approximately 6 cm length rupture of the greater curvature, extending from cardia to proximal pylorus. After trimming necrosis tissue of the edge, the gastric wall perforation was repaired surgically. Thinning and disappearance of muscularis were showed at edge of defect. The neonate’s condition improved and oral feeding was started on postoperative day 7. The birth weight was 2300 g at discharge.
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References
1.BRAUNSTEIN H. Congenital defect of the gastric musculature with spontaneous perforation; report of five cases. J Pediatr. 1954;44:55-63.
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Jiang F, Li J. Pneumoperitoneum from a congenital defect of the gastric musculature. 8913/2022


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Publication history

Received: 07/05/2022

Accepted: 11/05/2022

Online First: 24/05/2022

Published: 12/12/2022

Article Online First time: 17 days

Article editing time: 219 days


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