Neonatal colonic perforation
Fatma Saraç1, Emel Ataoğlu2, Cihad Tatar3, Halil Uğur Hatipoğlu2, Latif Abbasoğlu4
1Clinic of Pediatric Surgery, Haseki Training and Research Hospital, İstanbul, Turkey
2Clinic of Pediatrics, Haseki Training and Research Hospital, İstanbul, Turkey
3Clinic of General Surgery, Haseki Training and Research Hospital, İstanbul, Turkey
4Department of Pediatric Surgery, Acıbadem University Faculty of Medicine, İstanbul, Turkey
Abstract
Neonatal colonic perforation is a rarely seen condition. Plain abdominal radiography of a 28-hour newborn consulted for vomiting and bloody stool revealed the presence of subdiaphragmatic free air, which necessitated surgical exploration. Transverse colonic perforation was detected during the exploration, and subsequently, a colostomy and appendectomy were performed. The postoperative follow-up period was uneventful. Necrotizing enterocolitis, Hirschsprung disease, and mechanical obstruction are some of the causes of colonic perforation during the neonatal period. Herein, we have shared a case of colonic perforation in an asphyctic newborn delivered after prolonged labor.
Keywords: Necrotizing enterocolitis, colonic perforation, neonatal, perinatal asphyxia
Written informed consent was obtained from patients’ parents who participated in this case.
Externally peer-reviewed.
Concept - F.S.; Design - F.S.; Supervision - E.A., L.A.; Funding - F.S., C.T., H.U.H.; Materials - F.S.; Data Collection and/or Processing - F.S.; Analysis and/or Interpretation - F.S.; Literature Review - F.S., C.T., L.A.; Writer - F.S., C.T., L.A.; Critical Review - E.A., L.A.; Other - C.T., H.U.H.
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.