가성 낭종을 형성한 신생아의 위자연천공 1례
The Case of Pseudocyst Formation after Spontaneous Neonatal Gastric Perforation
윤정민, 임재우, 천은정, 고경옥,
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윤정민 ( Yoon Jung-Min )
건양대학교 의과대학 소아과학교실
임재우 ( Lim Jae-Woo )
건양대학교 의과대학 소아과학교실
천은정 ( Cheon Eun-Jung )
건양대학교 의과대학 소아과학교실
고경옥 ( Ko Kyong-Og )
건양대학교 의과대학 소아과학교실
KMID : 0438520060130020273
Abstract
Spontaneous gastric perforation of the newborn is a rare, serious and life-threatening problem. This is surgical emergency because of high mortality. Most historical reports have described gastric perforation in the neonate as spontaneous cause. But, recent reviews report the contributing factor including prematurity and mechanical ventilation. Usually clinician identifies the pneumoperitoneum in simple abdomen X-ray. The final diagnostic method is surgical finding and the treatment of gastric perforation is immediate surgical correction. Early diagnosis, hemodynamic monitoring and fluid therapy for hypovolemia improve outcome. Pseudocyst formation after gastric perforation is very rare in newborn. We report a rare case of pseudocyst formation after spontaneous gastric perforation in full term newborn.
키워드
Spontaneous gastric perforation;Pseudocyst
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