Neonatal Gastric Perforation due to Barotrauma

¹Department of Paediatric Surgery Waikato Hospital New Zealand

²Department of Surgery, Faculty of Medicine, University of Jaffna, Sri Lanka

*Corresponding Author: Dr. Sayanthan Balasubramaniam, Department of Surgery, Faculty of Medicine, University of Jaffna, Sri Lanka; Email: [email protected]

Received Date: July 17, 2023

Publication Date: August 02, 2023

Citation: Sayanthan B, et al. (2023). Neonatal Gastric Perforation due to Barotrauma. Cases. 2(2):13.

Copyright: Sayanthan B, et al. © (2023).

ABSTRACT

Introduction: Gastric perforation in newborns is rare although it is a serious surgical emergency and multiple risk factors contribute to this condition. Clinical Presentation: Here we discuss about a 33 weeks old premature neonate who developed respiratory distress and abdominal distension while on Continuous Positive Airway Pressure. Discussion: Neonatal gastric perforation is seldom seen life-threatening surgical condition commonly seen among premature and low birth weight newborn. The initial first line investigation is abdominal radiological image showing a pneumoperitoneum and it is recommended management that includes early respiratory support, intubation and surgical intervention with broad spectrum antibiotics coverage. Conclusion: Early detection and prompt management improves survival rate and have better prognosis.

Keywords: CPAP, Barotrauma, Positive Pressure Ventilation, Gastric perforation, Neonatology