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Title:Perforacija želodca v neonatalnem obdobju : a case report
Authors:ID Sukič, Klavdija (Author)
ID Miksić, Mirjana (Author)
ID Jagrič, Tomaž (Author)
ID Potrč, Stojan (Author)
Files:URL http://www.dlib.si/details/URN:NBN:SI:doc-YACBHYZD
 
.pdf 07.pdf (2,23 MB)
MD5: A75723FA4572E8CC0906F1300D1568E1
 
Language:English
Work type:Scientific work
Typology:1.04 - Professional Article
Organization:MF - Faculty of Medicine
Abstract: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
Publication status:Published
Publication version:Version of Record
Publication date:01.01.2011
Publisher:Medicinska fakulteta
Year of publishing:2011
Number of pages:str. 63-67
Numbering:Letn. 4, št. 1
PID:20.500.12556/DKUM-52342-cbbe1584-d8d7-4913-546c-713904e24406 New window
UDC:616.33
ISSN on article:1855-5640
COBISS.SI-ID:512122680 New window
NUK URN:URN:SI:UM:DK:05JQV8JW
Publication date in DKUM:10.07.2015
Views:2041
Downloads:46
Metadata:XML DC-XML DC-RDF
Categories:Misc.
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Record is a part of a journal

Title:Acta medico-biotechnica : AMB
Publisher:Medicinska fakulteta, Medicinska fakulteta, Univerzitetna založba Univerze v Mariboru
ISSN:1855-5640
COBISS.SI-ID:242526720 New window

Secondary language

Language:Slovenian
Title:Neonatal gastric perforation
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.
Keywords:gastric perforation, premature neonate, pneumoperitoneum, gastrectomy


Collection

This document is a part of these collections:
  1. Acta medico-biotechnica

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