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Perforation of the Digestive Tract in the Newborn Takashi Ueda 1 1Dept. of Pediatric Surgery, Children's Medical (Health) Center of Osaka City pp.423-428
Published Date 1971/4/25
DOI https://doi.org/10.11477/mf.1403111556
  • Abstract
  • Look Inside

 Perforation of the digestive tract in the newborn, quite different from that in the adult not only in its clinical manifestations but also in its etiology, has been described by classifying its causes into the following three categories.

 1) Perforation with distal obstruction.

 Rise in intraluminal pressure accounts for rupture and perforation of a segment of the digestive tract.

 2) Perforation without distal obstruction.  a) Perforation where some causes are presumed, such as ulcer, an accident due to catheterization into the stomach, or cerebral injury.

 b) Spontaneous perforation of unknown etiology.

 As clear distinction is difficult between a) and b) both have been discussed together in detail.

 It is true that clinical picture of perforation of the digestive tract presents some characteristic features such as the existence of free air in the upright abdominal x-ray picture so that its early diagnosis, which has important bearing on postoperative prognosis, is not difficult. However, in our experience referred cases in its early stage have been regrettably few. It is probably because there are not many clinicians in our country who have enough practical knowledge to adequately handle emergency cases needing immediate surgical intervention.

 The clinical aspects have been left out in the text, and instead personal cases in the figures have been fully described.


Copyright © 1971, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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