Can Neonatal Pneumoperitoneum be Managed by Conservative Management Alone?

Authors

  • Sananda Pati Graduate Trainee, Junior Resident, Department of Paediatrics, Burdwan Medical College and Hospital, Burdwan
  • Bhushan Chaki Post Graduate Trainee, Department of Paediatrics, Burdwan Medical College and Hospital, Burdwan
  • Atanu Roy Assistant Professor, Department of Paediatrics, Burdwan Medical College and Hospital, Burdwan
  • Sangita De Post Graduate Trainee, Department of Paediatrics, Burdwan Medical College and Hospital, Burdwan

DOI:

https://doi.org/10.3126/jnps.v32i3.5912

Keywords:

Pneumoperitoneum, Necrotising enterocolitis (NEC), Spontaneous intestinal perforation

Abstract

Common causes of pneumoperitoneum in neonates includes necrotising enterocolitis (NEC), specific infections, gastro intestinal obstruction, iatrogenic causes, idiopathic focal intestinal perforation, perforation secondary to intra thoracic pathology, mechanical ventilation etc. Primary peritoneal drainage and exploratory laparotomy remain the definitive management of pneumoperitoneum in neonates. Here we report a case of suspected spontaneous idiopathic intestinal perforation managed conservatively with monitoring of vital signs. The neonate had an uneventful recovery. This case highlights the need to identify infants with benign or non surgical causes of pneumoperitoneum thus avoiding unnecessary laparotomies and referrals in these vulnerable neonates.

DOI: http://dx.doi.org/10.3126/jnps.v32i3.5912

J. Nepal Paediatr. SocVol.32(3) 2012 252-253

Downloads

Download data is not yet available.
Abstract
805
PDF
697

Author Biography

Bhushan Chaki, Post Graduate Trainee, Department of Paediatrics, Burdwan Medical College and Hospital, Burdwan

MD PGT, department of paediatrics, burdwan medical college and hospital, burdwan.

Downloads

Published

2013-02-24

How to Cite

Pati, S., Chaki, B., Roy, A., & De, S. (2013). Can Neonatal Pneumoperitoneum be Managed by Conservative Management Alone?. Journal of Nepal Paediatric Society, 32(3), 252–253. https://doi.org/10.3126/jnps.v32i3.5912

Issue

Vol. 32 No. 3 (2012)

Section

Brief Reports/Case Reports/Case Series

License

Authors who publish with this journal agree to the following terms:

Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).