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. 2020 Dec:63:101686.
doi: 10.1016/j.epsc.2020.101686. Epub 2020 Oct 20.

Total gastrectomy with delayed Hunt-Lawrence pouch reconstruction for neonatal gastric perforation presenting with hematemesis

Christina M Theodorou  1 , Peggy Chen  2 , Melissa A Vanover  1 , Payam Saadai  1 , Erin G Brown  1 , Kelly B Haas  3 , Shinjiro Hirose  1
Affiliations

Total gastrectomy with delayed Hunt-Lawrence pouch reconstruction for neonatal gastric perforation presenting with hematemesis

Christina M Theodorou et al. J Pediatr Surg Case Rep. 2020 Dec.

Abstract

The differential for neonatal hematoma sis ranges from benign etiologies to life-threatening emergencies. Neonatal gastric perforation is a rare cause of neonatal hematoma sis but is a deadly condition, requiring prompt diagnosis and treatment. The etiology is usually related to conditions predisposing to over distension of the stomach, such as positive pressure ventilation or distal obstruction, but in some cases cannot be determined. Patients generally present with abdominal distension and respiratory distress. We present a case of a 1-day old term baby girl who developed sudden onset hematoma sis and clinical deterioration, who was found to have a large proximal gastric perforation requiring emergent total gastrectomy with delayed reconstruction.

Keywords: Gastric perforation; Hunt-lawrence pouch; Neonatal.

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Conflict of interest statement

Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig. 1.
Fig. 1.
Cross-table (a) and supine (b) abdominal radiographs demonstrating massive pneu moperi toneum with diaphrag matic elevation.
Fig. 2.
Fig. 2.
Anatomy of the Hunt-Lawrence pouch reconstruction.
See this image and copyright information in PMC

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