Preview

Grekov's Bulletin of Surgery

Advanced search

Successful treatment of a premature newborn with isolated gastric perforation

https://doi.org/10.24884/0042-4625-2020-179-3-58-61

Abstract

In the Republican perinatal center, there was a premature newborn girl who had a combination of various risk factors in the antenatal and postnatal period. From birth, the child was in the intensive care unit, required intensive care. Against the backdrop of positive dynamics, at the 4th week of life, the child’s condition worsened noticeably, signs of pneumoperitoneum appeared. After emergency laparocentesis, it took several days to stabilize the condition. Laparotomy was performed in a deferred order, in which isolated perforation of the posterior wall of the stomach was detected. The scope of the operation was limited to suturing the opening, since no other changes from the small and large intestine were detected. In the postoperative period, the child’s condition remained severe for a long time, was in the neonatal intensive care unit. The child was discharged home with recovery after 3 months.

About the Authors

I. H. Shidakov
Republican Perinatal Center; Republican Children’s Multidisciplinary Hospital
Russian Federation

Shidakov Islam H., Pediatric Surgeon, Pediatric Surgery Department

77, Griboedova str., Cherkessk, 369000, Russia.



B. M. Kalniyazov
Republican Perinatal Center; Republican Children’s Multidisciplinary Hospital
Russian Federation

Kalniyazov Bakhtiyar M., Head of the Department, Children’s Urology Department; Pediatric Surgeon

Cherkessk



E. A. Kuznetsova
Republican Perinatal Center
Russian Federation

Kuznetsova Elena A., Head of the Department of Neonatal Intensive Care Unit

Cherkessk



L. I. Alakaeva
Republican Perinatal Center
Russian Federation

Alakaeva Luiza I., Anesthesiologist – Resuscitator, Department of Neonatal Intensive Care Unit

Cherkessk



References

1. Kozlov Y. A., Rasputin A. A., Baradieva P. J., Ochirov C. B., Rasputina N. V., Us G. P., Kuznetsova N. N., Kononenko M. I. Surgical treatment of neonates with gastric perforation. Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2019;9(1):47–56. (In Russ.). Doi: 10.30946/2219-4061-2019-9-1-47-56.

2. Gumerov A. A., Bayazitov R. R., Neudachin A. E., Latypova G. G., Novozhenina D. S. Neonatal gastric perforations. Bashkortostan Medical Journal. 2018;13(4):53–65. (In Russ.).

3. Babayigit A., Ozaydın S., Cetinkaya M., Sander S. Neonatal gastric perforations in very low birth weight infants: a single center experience and review of the literature. Pediatr Surg Int. 2018 Jan;34(1):79–84. Doi: 10.1007/s00383-017-4205-1.

4. Chen T. Y., Liu H. K., Yang M. C., Yang Y. N., Ko P. J., Su Y. T., Huang R. Y., Tsai C. C. Neonatal gastric perforation: a report of two cases and a systematic review // Medicine (Baltimore). 2018 Apr;97(17):e0369. Doi: 10.1097/MD.0000000000010369.

5. Aglili F. Z., Oudrhiri M., Knouni H., Taboz Y., Benkiran H., Aguenaou H., Ettaybi F., Barkat A. [Idiopathic gastric perforation in neonates: about a case] // Pan Afr Med J. 2017 Jun 22;27:136. Doi: 10.11604/pamj.2017.27.136.12036.

6. Nafatalewa D. K., Misenga J. B., Musapudi E. M., Yebalaya P. M., Mujinga D. T., Ilunga G. N. [Spontaneous neonatal gastric perforation: about a case] // Pan Afr Med J. 2018 May 29;30:72. Doi: 10.11604/pamj.2018.30.72.13205.

7. Yang C. Y., Lien R., Fu R. H., Chu S. M., Hsu J. F., Lai J. Y., Minoo P., Chiang M. C. Prognostic factors and concomitant anomalies in neonatal gastric perforation // J Pediatr Surg. 2015 Aug;50(8):1278–1282. Doi: 10.1016/j.jpedsurg.2015.04.007.

8. Yang T., Huang Y., Li J., Zhong W., Tan T., Yu J., Li L., Pan J., Hu C., Yang J., Zou Y. Neonatal Gastric Perforation: Case Series and Literature Review // World J Surg. 2018 Aug;42(8):2668–2673. Doi: 10.1007/s00268-018-4509-x.

9. Gorbatyuk O. M., Martinyuk T. V., Shatrova K. M. Clinical and morphological characteristics the gastrointestinal perforation in newborn // Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2013;3(2):31–36. (In Russ.).

10. Zhang M. A case report of infant with gastric perforation caused by Candida albicans infection. Medicine (Baltimore). 2019 May;98(22):e15825. Doi: 10.1097/MD.0000000000015825.

11. Aydin M., Deveci U., Taskin E., Bakal U., Kilic M. Percutaneous peritoneal drainage in isolated neonatal gastric perforation // World J Gastroenterol. 2015 Dec 7;21(45):12987–12988. Doi: 10.3748/wjg.v21.i45.12987.


Review

For citations:


Shidakov I.H., Kalniyazov B.M., Kuznetsova E.A., Alakaeva L.I. Successful treatment of a premature newborn with isolated gastric perforation. Grekov's Bulletin of Surgery. 2020;179(3):58-61. (In Russ.) https://doi.org/10.24884/0042-4625-2020-179-3-58-61

Views: 624


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 0042-4625 (Print)
ISSN 2686-7370 (Online)