ABSTRACT
B a c k g r o u n d : S p o n t a n e o u s n e o n a t a l gastrointestinal perforation occurs without any primary lesion of the gastrointestinal tract. It is a rare surgical emergency that may be caused by shunting of blood from renal; peripheral and mesenteric vascular bed to vital organs such as heart and brain during periods of perinatal stress.Aim: To report three neonates with spontaneous gastrointestinal perforation. Results: Between 2001 and 2005; we managed three cases of spontaneous gastrointestinal perforation in neonates at the University of Benin Teaching Hospital; Benin City. The perinatal stress factors were caesarian delivery; prematurity and fetal distress due to prolonged obstructed labour. Two had exploratory laparotomy and their perforations were closed in 2 layers while one was managed conservatively. They survived and were discharged after ten; thirty-six and eight days on admission and remained well during one year of follow up.Conclusion: Early diagnosis; adequate resuscitation and timed surgical intervention resulted to encouraging outcome
Subject(s)
Disease , Gastrointestinal Tract , Infant , Infant, Newborn , Intestinal Perforation/surgeryABSTRACT
Les perforations intestinales d'origine typhique sont encore frequentes et graves au Congo. En 2 ans; de mars 1988 a fevrier 1990; 26 perforations ont ete traitees. Parmi les patients 16/26 soit 61 pour cent ont moins de 20 ans. La perforation siegeait sur la derniere anse ileale entre 5 et 50 cm de la volvule de bauhin. les delais entre l'installation du premier signe et le moment de l'operation varient de 24 heures a 21 jours. Il a ete realise une suture simple; 5 ileostomies laterales; 8 resection-anastomoses; et 12 ilestomies terminales