Esophageal Perforation in Preterm Neonates: A Complication to Remember

Singhal, Vikram and Kamath, Nutan and Shenoy , Rathika D. (2012) Esophageal Perforation in Preterm Neonates: A Complication to Remember. Journal of Perinatol and neonatal care, 13 (3). pp. 119-121.

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Abstract

Background/aim: Esophageal perforation (EP), a hole in the esophagus—the tube through which food passes from the mouth to the stomach, is a well-known entity in adults, while it is relatively uncommon in infants and children.Instrumental perforation and spontaneousperforation remain the 2 major causes of esophageal injury in infants and children. EP due to instrumentation is a life-threatening complication. Incidences of morbidityand mortality are directly related to delays in diagnosis and treatment. In the newborns, EP may be iatrogenic or noniatrogenic. We herein report our experience with the successful management of thiscomplication in an infant. Materials and methods: In this study, a 32-week preterm infant small for gestational age (SGA) was ventilated for hyaline membrane disease at the neonatal unit of a tertiary referral hospital. The infant presented with fresh bleed during the change of blocked endotracheal tube with sudden cardiopulmonary deterioration and right-sided tension pneumothorax. In addition, a chest radiograph revealed coiling of the feeding tube in the right pleural cavity suggestive of EP. An infant feeding tube of 5 Fr (nasogastric tube) was passed into the stomach. An intercostal, extrapleural drain was then positioned close to the anastomosis. The nasogastric tube was removed after 10 days. The infant was managed conservatively throughout the study period Conclusion: The patient was successfully treated using conservative measures.

Item Type: Article
Additional Information: Case Report
Subjects: Medicine > KMC Mangalore > Paediatrics
Depositing User: KMCMLR User
Date Deposited: 16 Feb 2013 06:21
Last Modified: 16 Feb 2013 06:21
URI: http://eprints.manipal.edu/id/eprint/78366

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