NGP is an uncommon phenomenon that requires skilled tackling and apt management. The pathology itself is multifactorial with prematurity as a significant risk factor. NGP may present with marked abdominal distention, respiratory distress, vomiting, failure to feed, and lethargy. The diagnosis of a pneumoperitoneum can be made by plain abdominal radiographs and management usually includes an emergency laparotomy with gastrorrhaphy. Percutaneous drainage has also shown good results and may be considered in those patients who cannot be taken up for surgery. LBW and prematurity are known to affect the prognosis and it is important to have an eagle’s eye to catch this condition early. Though a rare entity, NGP remains to be a deadly condition and can threaten the life of any neonate.
Sadat, Anoush Sardesai; Virdiana, Mahisha; Gohil, Raj Parag; Thotan, Sundeep Payyanur; and Rammohan, Ranjani
"A neonatal surgeon’s concern – Review on neonatal gastric perforation,"
Manipal Journal of Medical Sciences: Vol. 7:
1, Article 4.
Available at: https://impressions.manipal.edu/mjms/vol7/iss1/4