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Neonatal intestinal perforation in a developing country.
Ann Trop Paediatr. 2001 Mar; 21(1):26-8.AT

Abstract

Between 1990 and 1999, 14 neonates with intestinal perforation were treated at the Ahmadu Bello University Teaching Hospital, Zaria, Nigeria. Median age at presentation was 9 days and median weight 2.65 kg. Five had high anorectal malformation, three Hirschsprung's disease and two ruptured exomphalos with bowel strangulation. Gastroschisis, strangulated inguinal hernia, ileal atresia and umbilical sepsis with evisceration accounted for one case each. Two of the perforations were iatrogenic during colostomy construction. Seven perforations were in the small bowel and seven in the colorectum. Three neonates had oedema and tenderness of the anterior abdominal wall, and pneumoperitoneum was seen in abdominal radiographs in two. All the infants had laparotomy, four under local anaesthesia, after resuscitation. Three had simple suture of the perforation, five had resection with primary anastomosis and six had exteriorization colostomy. Overall, eight (59%) died, five with colorectal perforation and three with small bowel perforation.

Authors+Show Affiliations

Chirdan LB
Paediatric Surgery Unit, Department of Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria. ssrs.njsr@skannet.com
Ameh EA
No affiliation info available

MeSH

Anastomosis, SurgicalColonic DiseasesColostomyDeveloping CountriesFemaleHumansIatrogenic DiseaseIleal DiseasesInfant, NewbornIntestinal PerforationMaleRetrospective Studies

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11284242

Citation

Chirdan, L B., and E A. Ameh. "Neonatal Intestinal Perforation in a Developing Country." Annals of Tropical Paediatrics, vol. 21, no. 1, 2001, pp. 26-8.
Chirdan LB, Ameh EA. Neonatal intestinal perforation in a developing country. Ann Trop Paediatr. 2001;21(1):26-8.
Chirdan, L. B., & Ameh, E. A. (2001). Neonatal intestinal perforation in a developing country. Annals of Tropical Paediatrics, 21(1), 26-8.
Chirdan LB, Ameh EA. Neonatal Intestinal Perforation in a Developing Country. Ann Trop Paediatr. 2001;21(1):26-8. PubMed PMID: 11284242.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Neonatal intestinal perforation in a developing country. AU - Chirdan,L B, AU - Ameh,E A, PY - 2001/4/4/pubmed PY - 2001/4/17/medline PY - 2001/4/4/entrez SP - 26 EP - 8 JF - Annals of tropical paediatrics JO - Ann Trop Paediatr VL - 21 IS - 1 N2 - Between 1990 and 1999, 14 neonates with intestinal perforation were treated at the Ahmadu Bello University Teaching Hospital, Zaria, Nigeria. Median age at presentation was 9 days and median weight 2.65 kg. Five had high anorectal malformation, three Hirschsprung's disease and two ruptured exomphalos with bowel strangulation. Gastroschisis, strangulated inguinal hernia, ileal atresia and umbilical sepsis with evisceration accounted for one case each. Two of the perforations were iatrogenic during colostomy construction. Seven perforations were in the small bowel and seven in the colorectum. Three neonates had oedema and tenderness of the anterior abdominal wall, and pneumoperitoneum was seen in abdominal radiographs in two. All the infants had laparotomy, four under local anaesthesia, after resuscitation. Three had simple suture of the perforation, five had resection with primary anastomosis and six had exteriorization colostomy. Overall, eight (59%) died, five with colorectal perforation and three with small bowel perforation. SN - 0272-4936 UR - https://www.unboundmedicine.com/medline/citation/11284242/Neonatal_intestinal_perforation_in_a_developing_country_ DB - PRIME DP - Unbound Medicine ER -