A Rare Case of Accidental Esophageal Perforation in an Extremely Low Birth Weight Neonate
Published: June 1, 2014 | DOI: https://doi.org/10.7860/JCDR/2014/.4460
Pradeep Suryawans hi, Amit Dahat, Rema Nagpal, Nandini Malshe, Vijay Kalrao
1. NICU Incharge, Associate Professor & Consultant Neonatologist, Division of Neonatology, Department of Pediatrics, Bharati Vidyapeeth University
Medical College, Pune, MS, India.
2. Neonatal Fellow, Division of Neonatology, Department of Pediatrics, Bharati Vidyapeeth University Medical College, Pune, MS, India.
3. Assistant Professor, Division of Neonatology, Department of Pediatrics, Bharati Vidyapeeth University Medical College, Pune, MS, India.
4. Associate Professor & Consultant Neonatologist, Division of Neonatology, Department of Pediatrics, Bharati Vidyapeeth University Medical College,
Pune, MS, India.
5. Professor, Department of Pediatrics, Bharati Vidyapeeth University, India.
Correspondence
Dr. Pradeep Suryawanshi,
D 404, Treasure Park, Sant Nagar Parvati, Pune-411009, India.
Phone: +91-9923540500, E-mail: drpradeepsuryawanshi@gmail.com
Spontaneous perforation of esophagus in neonates is a rare occurrence. However iatrogenic perforation of the esophagus is not that uncommon, and is most frequently seen in preterm and low birth weight infants. In premature infants, an esophageal perforation (EP) mainly occurs while inserting an orogastric tube. The commonly reported symptoms of EP are sudden onset respiratory distress, due to the pleural effusion and pneumothorax. In our case neonate presented with apnea requiring ventilation. We present a rare case of an Extremely Low Birth Weight (ELBW) neonate with an iatrogenic esophageal perforation who presented with recurrent apneas, outlining aspects of diagnosis and management.
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