Gastric Perforation: A Rare Cause of Neonatal Peritonitis: A Curious Case at Yaoundé Central Hospital (HCY)
- 1 Paediatric Surgery Department, YCH, Yaounde, Cameroun
- 2 Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaounde, Cameroon
- 3 Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Garoua
- 4 Paediatric Surgery Department, University of Garoua, Garoua, Garoua
- 5 Paediatric Surgery Department, YCH, Yaounde, Cameroun
- 6 Paediatric Surgery Department, University of Garoua, Garoua, Garoua
- 7 Vire-Normandie Hospital Centre (France), Rouen, France
- 8 Vire-Normandie Hospital Centre (France), Rouen, France
- 9 Paediatric Surgery Department, YCH, Yaounde, Cameroun
- 10 Paediatric Surgery Department, YCH, Yaounde, Cameroun
- 11 Paediatric Surgery Department, YCH, Yaounde, Cameroun
- 12 Paediatric Surgery Department, YCH, Yaounde, Cameroun
- 13 Paediatric Surgery Department, YCH, Yaounde, Cameroun
- 14 Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaounde, Cameroon
Abstract
Neonatal gastric perforation (NGP) is a serious surgical emergency, causing pneumoperitoneum and peritonitis, most often occurring during the first week of life. It accounts for a rare proportion of neonatal digestive perforations, but remains associated with high mortality, particularly in resource-limited countries. We report the case of a 6-day-old newborn admitted for abdominal distension and respiratory distress, in whom surgical exploration revealed a large gastric perforation. Medical and surgical management resulted in a favourable outcome. Through this case, we discuss the diagnostic, therapeutic and prognostic aspects in the light of recent international and African literature.
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