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Atlas of Neonatal Pathology
Marta Ježová, Josef Feit
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Spontenous gastric perforation in a neonate
Etiology

Ischemia of the gastric wall secondary to severe birth asphyxia with shunting of blood away from the splanchnic organs.

Clinical signs
  • rare occurance with high mortality
  • more common in preterm infants
  • occurs in the first days after birth
  • linear tears on the greater curvature
Pictures

Gastric perforation which occured at 9 days of age in a premature neonate with history of significant birth asphyxia. There is a linear tear on the great curvature measuring 18 mm. Diffuse peritonitis was the cause of death. Perforation of the stomach, newborn, Macro, autopsy (73865) Perforation of the stomach, newborn, Macro, autopsy (73864) Perforation of the stomach, newborn, Macro, autopsy (73863)