Abstract
Journal of Neonatal Surgery is a peer-reviewed and open-access electronic journal. Only a few journals are being published on Neonatal Surgery especially from a developing country, which justifies the need of a new journal on this subject.
Highlights
Daniel Acosta Farina,1* Jorge Oliveros Rivero,1 Vicente Salinas Salinas,1 Manuel Cabrera Viteri,1 Claudia Salazar Caicedo,1 Daniel Acosta Bowen,2
The baby had severe respiratory failure shifted to the neonatal intensive care unit (NICU) on mechanical ventilation
The prevalence of duodenal perforation in newborns is unknown, with the majority of perforations located on the anterior duodenum.[1,3,6,7,8]
Summary
A male neonate born at 29 weeks of gestation by emergency cesarean section due to preeclampsia, small for gestational age, with a birth weight of 800 grams and length of 34.5 cm. The baby had severe respiratory failure shifted to the neonatal intensive care unit (NICU) on mechanical ventilation. Orogastric tube feeding was started with the mother’s breast milk and the baby had good tolerance and several bowel movements. Laparotomy showed a 0.5 cm perforation on the anterior aspect of the first part of the duodenum (Fig.2) covered by fibrinous tissue and adhered to the inferior surface of the liver. On the third postoperative day (POD), the drain was removed followed by extubation. On POD-5, trophic enteral feeds were started via orojejunal tube and increased as per acceptance. At 30 days of life, the baby developed an ill appearance, dark brown secretions from the orogastric tube, Journal of Neonatal Surgery | Year: 2021 | Volume: 10 | Page ID: 19
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