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. 2011 Jun;73(3):214-6.
doi: 10.1007/s12262-010-0209-y. Epub 2011 Feb 1.

Idiopathic neonatal colonic perforation- a case report

Nilottpal Dey Jr  1 , Lekhachandra Sharma, Birkumar Sharma, Kh Sharat Chandra, Kh Gojen Singh, Ashem Jack Meitei
Affiliations

Idiopathic neonatal colonic perforation- a case report

Nilottpal Dey Jr et al. Indian J Surg. 2011 Jun.

Abstract

Perforation of the transverse colon in neonate is a rare finding in clinical practice. We report a case of Idiopathic neonatal colonic perforation in a twenty-one days old, healthy, female neonate without any demonstrable cause. She presented with abdominal distention and constipation. Abdominal radiograph showed massive pneumoperitoneum. On exploration, transverse colonic perforation was found near splenic flexure area. The perforation was closed primarily. Other than inflammatory fibrin flakes the rest of the large intestine and small bowel appeared normal. Hirschsprung's diseases, necrotizing enterocolitis, small left colon syndrome, atresia, imperforate anus, cystic fibrosis are some causes of colonic perforation in neonates. However none of the clinical features or intra-operative finding of the above conditions could be found in our case. At follow-up, the baby showed normal weight gain without any symptoms.

Keywords: Idiopathic perforation; Neonate; Transverse colon.

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Figures

Fig. 1
Fig. 1
Massive pneumoperitonium (X-ray Erect abdomen)
Fig. 2
Fig. 2
Matted small bowel loops
Fig. 3
Fig. 3
Transverse colon perforation site
See this image and copyright information in PMC

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