Gastric pneumatosis complicated by a neonatal digestive occlusion

Gastric pneumatosis is a rare pathology. Its occurrence in the neonatal period requires looking for ulcerative-necrotizing enterocolitis in a context of prematurity or an underlying surgical obstacle. We report a case of gastric pneumatosis at a newborn child born at term, admitted on the third day...

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Bibliographic Details
Published in:Archives de pédiatrie : organe officiel de la Société française de pédiatrie 2013-09, Vol.20 (9), p.979-981
Main Authors: Lehlimi, M, Fadil, F, Ferram, N, Benali, K, Hammoumi, Z, Habzi, A, Sbai, H, Benomar, S
Format: Article
Language:fre
Subjects:
Duodenal Obstruction - congenital
Duodenal Obstruction - surgery
Duodenostomy
Female
Humans
Infant, Newborn
Intestinal Atresia - complications
Pancreas - abnormalities
Pancreatic Diseases - complications
Pneumoperitoneum - complications
Stomach Diseases - complications
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Summary:Gastric pneumatosis is a rare pathology. Its occurrence in the neonatal period requires looking for ulcerative-necrotizing enterocolitis in a context of prematurity or an underlying surgical obstacle. We report a case of gastric pneumatosis at a newborn child born at term, admitted on the third day of life for neonatal occlusion with a flat stomach. The abdomen without preparation showed substantial gastric distension with aspects of gastric pneumatosis and embellishes with images showing a double gastric bubble. The surgical exploration showed gastric pneumatosis, complete duodenal atresia located at the level of the second duodenal portion, and an annular pancreas. Progression was favorable after duodenostomy.
ISSN:1769-664X
DOI:10.1016/j.arcped.2013.06.007