Conservative Management of Spontaneous Pneumoperitoneum in an Immature Neonate: Report of a Case.
- Author:
Jee Hyun JEON
1
;
Hyeon Soo LEE
Author Information
1. Department of Pediatrics, Daejin Medical Center, Pundang Jesaeng General Hospital, Sungnam, Korea.
- Publication Type:Original Article
- Keywords:
Pneumoperitoneum;
Nonsurgical pneumoperitoneum;
Peritonitis;
Conservative management
- MeSH:
Emergencies;
Humans;
Infant;
Infant, Newborn*;
Occult Blood;
Peritonitis;
Physical Examination;
Pneumoperitoneum*
- From:Journal of the Korean Society of Neonatology
2000;7(2):171-175
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The finding of extraluminal gas on plain abdominal radiogram is usually associated with a perforated viscus, and an emergency laparatomy is indicated. But we report herein an immature neonate with spontaneous pneumoperitoneum that was treated successfully with conservative management, although this infant she showed positive result in stool occult blood test. As this case shows, the finding of pneumoperitoneum is not of a surgical emergency, because there are many benign explanations for pneumoperitoneum. A through history taking and physical examination are most important in differentiating between surgical and nonsurgical pneumoperitonium.
