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  • Title: Iatrogenic esophageal perforation in the neonate.
    Author: Ben Aoun J, Gasmi M, Jemai R, Sghairoun N, Sahli S, Hamzaoui M.
    Journal: Tunis Med; 2012 Jan; 90(1):72-4. PubMed ID: 22311452.
    Abstract:
    BACKGROUND: Esophageal perforation is uncommon and often iatrogenic. AIM: To report a neonatal case of esophageal perforation. CASE: A premature newborn boy was admitted with a diagnosis of oesophageal atresia after several unsuccessful attempts to insert an orogastric tube. A chest x-ray showed a "high pouch" with a gasless intestine. At operation, no atresia was found and a large traumatic perforation of the lower cervical segment was identified, requiring cervicotomy and primary closure. Oral feeding was started after 3 weeks. As a result, nosocomial sepsis occurred, causing death in the third month after surgical treatment. CONCLUSION: Oesophageal perforation in the neonate is often iatrogenic and may mimic oesophageal atresia. The authors highlight the importance of early diagnosis and management.
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