An Unusual Pneumoperitoneum in an Extremely Low Birth Weight Preterm Newborn

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Domenico Umberto De Rose
Valerio Romano
Francesca Priolo
Chiara Zecca
Luca Maggio
Giovanni Vento
Francesca Gallini


pneumoperitoneum; preterm infants; laparotomy


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. (


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