Two Cases of Neonatal Gastric Perforation

One-day-old term male newborn admitted with features of birth asphyxia. An NG tube was passed and IV fluids with parenteral antibiotics were started. Next day, the patient developed a progressive abdominal distention and bilious vomiting. A plain abdominal X-ray showed evidence of massive pneumoperitoneum. Laboratory tests were within normal limits. At operation, there was an ovoid gastric perforation measuring about 1cm in diameter on the lesser curvature of the stomach which was closed in 2 layers. The postoperative recovery was uneventful.