Frequency of small bowel perforation in neonates with pneumopeirtoneum.

Authors

  • Sumaira National Institute of Child Health Karachi.
  • Ishat Mahtam National Institute of Child Health Karachi.
  • Nasir Saleem Saddal National Institute of Child Health Karachi.

DOI:

https://doi.org/10.29309/TPMJ/2022.29.06.6314

Keywords:

Gastrointestinal Perforation, Pneumoperitoneum, Small Bowel Perforation

Abstract

Objective: To determine the frequency of small bowel perforation in neonates with pneumoperitoneum. Study Design: Descriptive Cross-sectional study. Setting: Department of Pediatrics Surgery, National Institute of Child Health Karachi. Period: November 2018 to April 2019. Material & Methods: Study conducted to identify clinical presentation, risk factors, site of perforation and outcome of pneumoperitoneum in neonates. Data collected was entered and analyzed in the SPSS version 21. Mean with standard deviation was calculated for quantitative variables like age, gestational age, weight and duration of symptoms. Results: A total of 87 neonate presenting with abdominal distension and bilious vomiting presenting within 24 hours diagnosed as pneumoperitoneum with chest X-ray erect shows gas under diaphragm were included in this study. The average age of the neonate was 11.02±8.52 days. There were 48 (55.17%) male and 39(44.83%) female. Frequency of small bowel perforation in neonates with pneumoperitoneum was observed in 31.03 %( 27/87). Conclusion: It is to be concluded rate of small bowel perforation was significantly high in those neonate who had below and equal to 2 kg weight and also high in those neonates who presented with in 12-24 hours duration of symptoms.

Author Biographies

Sumaira, National Institute of Child Health Karachi.

MBBS, FCPS, Resident Pediatric Surgery, 

 

 

Ishat Mahtam, National Institute of Child Health Karachi.

MBBS, FCPS, Resident Pediatric Surgery, 

Nasir Saleem Saddal, National Institute of Child Health Karachi.

MBBS, FCPS, Professor Pediatric Surgery, 

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Published

2022-05-31