| Author/Editor | Sukič, Klavdija; Miksić, Mirjana; Jagrič, Tomaž; Potrč, Stojan | |
| Title | Perforacija želodca v neonatalnem obdobju | |
| Translated title | Neonatal gastric perforation | |
| Type | članek | |
| Vol. and No. | Letnik 4, št. 1 | |
| Publication year | 2011 | |
| Volume | str. 63-67 | |
| ISSN | 1855-5640 - Acta medico-biotechnica : AMB | |
| Language | eng | |
| Abstract | Namen: Perforacija v neonatalnem obdobju je redko, življenje ogrožujoče klinično stanje. Najpogosteje se pojavi pri kritično bolnih novorojenčkih, ki so zdravljeni v neonatalni intenzivni enoti. Poznanih je več možnih vzrokov, vendar ostajata etiologija in patogeneza v mnogih primerih nepojasnjena. Nedonošenost in nizka porodna teža sta znana dejavnika tveganja. Poročilo o primeru: Predstavljamo primer fantka, gestacijske starosti 29. tednov, ki je bil rojen z urgentnim carskim rezom zaradi abrupcije placente. 4. dan po rojstvu smo opažali distenzijo abdomna ter hitro napredujoče šokovno stanje. Rentgenogram abdomna je potrdil pnevmoperitonej. Ob urgentni kirurški eksploraciji je bila ugotovljena perforacija želodca, ki je bil zašita po eksciziji okolnega ishemičnega tkiva. Zaključek: Perforacija želodca pri novorojenčku je kirurška urgenca z visoko smrtnostjo. Za izboljšanje prognoze sta pomembna zgodnja prepoznava in čimprejšnji kirurški poseg ob agresivnem podpornem zdravljenju.Purpose: Neonatal gastric perforation is a rare life-threatening clinical condition. It is usually handled in a neonatal intensive care unit setting. Many theories have been proposed to explain the etiology and pathogenesis of gastric perforation in the neonatal period, but in many cases they remain unknown. Prematurity and low birth weight are known as risk factors. Case report: We report a 4-day- old male infant that was delivered by emergency Cesarean section because of placental abruption at 29-weeks gestational age. On the 4th day, the baby developed rapid abdominal distension with rapid progression to shock. Abdominal radiography showed free intra-peritoneal air. An emergency laparotomy revealed a perforation in the smaller curvature of the stomach that was sutured after excision of the surrounding ischemic stomach wall. Conclusion: Gastric perforation in a newborn infant represents an immediate surgical emergency with high mortality. Early diagnosis and early intervention may improve the prognosis associated with vigorous supportive measures. | |
| Keywords | perforacija želodca nedonošenček pnevmoperitonej gastrektomija gastric perforation premature neonate pneumoperitoneum gastrectomy |