Neonatal gastric perforation enclosed by the lesser sac

A female preterm infant was born by cesarean delivery at a gestational age of 244/7 weeks with a birth weight of 523  g. On Day 8, mild abdominal distention and bilious gastric residuals were noted. Pneumoperitoneum was not evident in the plain abdominal radiographs. On Day 9, a round, 4-cm translucent structure was observed in the left upper quadrant (Fig. 1). Pneumoperitoneum was not evident in the lateral dec ubitus view. On Day 10, the translucent structure was still present; however, an upper gastrointestinal series did not delineate the structure (Fig. 2).

Source: Pediatrics and Neonatology - January 30, 2019 Category: Perinatology & Neonatology Authors: Hiroyuki Ichiba, Naohiro Yamamoto Tags: Images Source Type: research