Esophageal perforation in neonates: a report of seven cases from Kuwait

ABSTRACT

Preterm neonates exposed to invasive procedures are at risk of esophageal perforation [EP]. We are reporting a series of seven cases of EP, which have occurred in the neonatal intensive care unit [NICU] of Farwaniya Hospital, Kuwait, over a period of nine years [1994-2002]. This gives an incidence of one in 8,118 live births and one in 278 NICU admissions. All patients were premature [below 32 weeks] and were exposed to various invasive procedures. Two cases had a tentative diagnosis of esophageal atresia at the time of presentation. Other five cases presented with a feeding tube in an ectopic position and air leak syndrome. All cases were managed conservatively. The perforations healed without any complication. The overall outcome was good as none of the mortality and morbidity was attributed to EP. Our objective in this report is to highlight the existence of this problem and emphasize the importance of its early diagnosis, management and prevention. Misdiagnosis might lead to unnecessary investigation and / or surgical intervention