Can Neonatal Pneumoperitoneum be Managed by Conservative Management Alone?

  • 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
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

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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.
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
Section
Brief Reports/Case Reports/Case Series