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Case Reports
. 2014 Jun;8(6):PD01-2.
doi: 10.7860/JCDR/2014/8554.4460. Epub 2014 Jun 20.

A rare case of accidental esophageal perforation in an extremely low birth weight neonate

Pradeep Suryawanshi  1 , Amit Dahat  2 , Rema Nagpal  3 , Nandini Malshe  4 , Vijay Kalrao  5
Affiliations
Case Reports

A rare case of accidental esophageal perforation in an extremely low birth weight neonate

Pradeep Suryawanshi et al. J Clin Diagn Res. 2014 Jun.

Abstract

Spontaneous perforation of esophagus in neonates is a rare occurrence. However iatrogenic perforation of the esophagus is not that uncommon, and is most frequently seen in preterm and low birth weight infants. In premature infants, an esophageal perforation (EP) mainly occurs while inserting an orogastric tube. The commonly reported symptoms of EP are sudden onset respiratory distress, due to the pleural effusion and pneumothorax. In our case neonate presented with apnea requiring ventilation. We present a rare case of an Extremely Low Birth Weight (ELBW) neonate with an iatrogenic esophageal perforation who presented with recurrent apneas, outlining aspects of diagnosis and management.

Keywords: Apnea; ELBW; Orogastric tube.

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Figures

[Table/Fig-1a]:
[Table/Fig-1a]:
Chest radiographs showing orogastric tube in right sided pleural space and Pleural effusion
[Table/Fig-1b]:
[Table/Fig-1b]:
A radiological dye study performed 8 days later shows no leak in esophagus
See this image and copyright information in PMC

References

    1. PA Cairns, BG McClure, HL Halliday, M McReid. Unusual site for oesophageal perforation in an extremely low birth weight infant. Eur. J. Pediatr. 1999;158:152–3. - PubMed
    1. HA Al-Khawahur, AH Al-Salem. Iatrogenic perforation of the esophagus. Saudi Med J. 2002;23(6):732–4. - PubMed
    1. L Filippi, M Pezzati, C Poggi. Use of polyvinyl orogastric tubes and iatrogenic pharyngo-oesophageal perforation in very low birth weight infants. Acta Paediatr. 2005;94:1825–8. - PubMed
    1. M Grünebaum, C Horodniceanu, E Wilunsky, S Reisner. Iatrogenic transmural perforation of the esophagus in the preterm infant. Clin Radiol. 1980;31:257–61. - PubMed
    1. PS Shah, MS Dunn, VS Shah. Esophageal perforation in preterm neonates: not aninnocent bystander. J Paediatric Child Health. 2003;39:697–9. - PubMed

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