Total gastrectomy with delayed Hunt-Lawrence pouch reconstruction for neonatal gastric perforation presenting with hematemesis

Christina M. Theodorou, Peggy Chen, Melissa A. Vanover, Payam Saadai, Erin G. Brown, Kelly B. Haas, Shinjiro Hirose

Research output: Contribution to journalArticlepeer-review

Abstract

The differential for neonatal hematemesis ranges from benign etiologies to life-threatening emergencies. Neonatal gastric perforation is a rare cause of neonatal hematemesis but is a deadly condition, requiring prompt diagnosis and treatment. The etiology is usually related to conditions predisposing to overdistension of the stomach, such as positive pressure ventilation or distal obstruction, but in some cases cannot be determined. Patients generally present with abdominal distension and respiratory distress. We present a case of a 1-day old term baby girl who developed sudden onset hematemesis and clinical deterioration, who was found to have a large proximal gastric perforation requiring emergent total gastrectomy with delayed reconstruction.

Original languageEnglish (US)
Article number101686
JournalJournal of Pediatric Surgery Case Reports
Volume63
DOIs
StatePublished - Dec 2020

Keywords

  • Gastric perforation
  • Hunt-lawrence pouch
  • Neonatal

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

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