Abstract
Spontaneous gastric perforation is a serious, rare and life threatening condition. Perforation of the stomach is a full thickness injury to the wall of the organ. As the peritoneum completely covers the stomach, perforation of the wall creates a communication between the gastric lumen and the peritoneal cavity. Gastric perforation is caused by three different mechanisms. We report a case of gastric perforation in a Preterm, very low birth weight neonate in our NICU and based on the signs of abdominal distension and increased abdominal girth. Abdomen ultrasonography and Contrast dye study was done which showed perforation, following which exploratory laparotomy was performed and surgical repair was carried out. As it has high mortality rate so its prompt recognition and surgical intervention is utmost necessary
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