An Unusual Pneumoperitoneum in an Extremely Low Birth Weight Preterm Newborn

Main Article Content

Domenico Umberto De Rose https://orcid.org/0000-0002-9076-9838
Valerio Romano
Francesca Priolo
Chiara Zecca
Luca Maggio
Giovanni Vento https://orcid.org/0000-0003-3121-9569
Francesca Gallini

Keywords

pneumoperitoneum; preterm infants; laparotomy

Abstract

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)

Downloads

Download data is not yet available.
Abstract 8 | PDF Downloads 0

References

1. 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
2. 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
3. Mestel AL, Trusler GA, Humphreys RP, Simpson JS. Pneumoperitoneum in the newborn. Can Med Assoc J 1996; 95: 201–204. PMID: 5947764
4. 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
5. 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
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.
7. 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
8. 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
9. 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
10. 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
11. 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
12. 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