An Unusual Pneumoperitoneum in an Extremely Low Birth Weight Preterm Newborn
Keywords:
pneumoperitoneum; preterm infants; laparotomyAbstract
Pneumoperitoneum (PP) is a radiological diagnosis, characterized by the presence of air under the diaphragm, that in 90% of cases results from a perforated viscus while in 10% of cases it is not associated to perforation, the so-called non-surgical or spontaneous PP. Spontaneous PP is rare at any paediatric and neonatal age. In the neonatal population, sporadic cases of spontaneous PP have been described, almost invariably following mechanical ventilation. We presented the case of an extremely low birth weight infant (ELBW) with spontaneous PP secondary to pneumomediastinum who has never underwent mechanical ventilation or cardiopulmonary resuscitation. (www.actabiomedica.it)
References
Eskandar O, El Badawy S, Bennett S. ‘Spontaneous/non-surgical pneumoperitoneum' in a 34-week-pregnant patient. Aust N Z J Obstet Gynaecol 2007; 47: 150-151. DOI: 10.1111/j.1479-828X.2007.00703.x
Mularski RA, Sippel JM, Osborne ML. Pneumoperitoneum: a review of nonsurgical causes. Crit Care Med 2000; 28: 2638-2644. DOI: 10.1097/00003246-200007000-00078
Mestel AL, Trusler GA, Humphreys RP, Simpson JS. Pneumoperitoneum in the newborn. Can Med Assoc J 1996; 95: 201–204. PMID: 5947764
Karaman A, Demirbilek S, Akin M, Gürünlüoğlu K, Irşi C. Does pneumoperitoneum always require laparotomy? Report of six cases and review of the literature. Pediatr Surg Int 2005; 21: 819-824. DOI: 10.1007/s00383-005-1489-3
Khan TR, Rawat JD, Ahmed I, et al. Neonatal pneumoperitoneum: a critical appraisal of its causes and subsequent management from a developing country. Pediatr Surg Int 2009; 25: 1093-1097. DOI: 10.1007/s00383-009-2488-6
Benjamin PK, Thompson JE, O'Rourke PP. Complications of mechanical ventilation in a children’s hospital multidisciplinary intensive care unit. Respir Care 1990; 35: 873–878.
Ilgren EB, Symchych PS, Redo SF. Pneumoperitoneum without ruptured viscus in the neonate: a case report and review of the literature. J Pediatr Surg 1977; 12: 537-540. DOI: 10.1016/0022-3468(77)90193-2
Raturi S, Chandran S, James TE, Rajadurai VS. Radiological signs of pneumoperitoneum in an extremely low birthweight infant. BMJ Case Rep 2014:8;2014. DOI: 10.1136/bcr-2014-205510
Sammut A Dr, Soares Oliveira M, Jackson C, Sortica da Costa C. Pneumoperitoneum in a neonate weighing less than 500 g. What do we really know about it? BMJ Case Rep 2018;16;2018. DOI: 10.1136/bcr-2018-224398
Gummalla P, Mundakel G, Agaronov M, Lee H. Pneumoperitoneum without Intestinal Perforation in a Neonate: Case Report and Literature Review. Case Rep Pediatr 2017;2017:6907329. DOI: 10.1155/2017/6907329
He TZ, Xu C, Ji Y, Sun XY, Liu M. Idiopathic neonatal pneumoperitoneum with favorable outcome: A case report and review. World J Gastroenterol 2015; 28;21:6417-21. DOI: 10.3748/wjg.v21.i20.6417
Hughes DB, Judge TN, Spigland NA. Tension pneumoperitoneum in a child resulting from high-frequency oscillatory ventilation: a case report and review of the literature. J Pediatr Surg 2012; 47: 397-399. DOI: 10.1016/j.jpedsurg.2011.10.060
Downloads
Published
Issue
Section
License
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Transfer of Copyright and Permission to Reproduce Parts of Published Papers.
Authors retain the copyright for their published work. No formal permission will be required to reproduce parts (tables or illustrations) of published papers, provided the source is quoted appropriately and reproduction has no commercial intent. Reproductions with commercial intent will require written permission and payment of royalties.