NEONATAL SPONTANEOUS COLONIC PERFORATION: A RARE ENTITY
Abstract
Colonic perforation presenting as acute abdomen in early neonatal period is a rarely reported entity in literature. Mostly reported cases are secondary to some mechanical obstruction or underlying enteric pathology. Despite advances in neonatal care, it still carries a significantly high mortality. Abdomen x-ray demonstrating free air is sufficient to confirm diagnosis mandating early surgical intervention. We present a rare case of spontaneous transverse colonic perforation in a one-day old neonate presenting with sudden onset gross abdominal distension and respiratory distress managed by exploration and primary repair.
References
1. Manzar S. Spontaneous intestinal perforations in extremely low birth weight infants. J Pediatr Surg 2021;56(4):831.
2. Rausch LA, Hanna DN, Patel A, Blakely ML. Review of Necrotizing Enterocolitis and Spontaneous Intestinal Perforation Clinical Presentation, Treatment, and Outcomes. Clin Perinatol 2022;49(4):955–64.
3. Singh RJ, Suman BK, Sinha AK, Kumar B. Neonatal Sigmoid Colon Perforation in Low Anorectal Malformation. J Indian Assoc Pediatr Surg 2023;28(4):342–4.
4. Olaloye O, Swatski M, Konnikova L. Role of Nutrition in Prevention of Neonatal Spontaneous Intestinal Perforation and Its Complications: A Systematic Review. Nutrients 2020;12(5):1347.
5. Shinde RK, Rajendran R Jr. Spontaneous Intestinal Perforation in Neonates Involving the Cecum: A Case Report. Cureus 2023;15(4):e37322.
6. Demir N, Tuncer O, Melek M, Kaba S, Bulan K, Peker E. Idiopathic neonatal colonic perforation. J Neonatal Surg 2014;3(1):6.
7. He TZ, Xu C, Ji Y, Sun XY, Liu M. Idiopathic neonatal pneumoperitoneum with favorable outcome: A case report and review. World J Gastroenterol 2015;21(20):6417–21.
8. Tan SS, Wang K, Pang W, Wu D, Peng C, Wang Z, et al. Etiology and surgical management of pediatric acute colon perforation beyond the neonatal stage. BMC Surg 2021;21(1):212.
9. Dey N Jr, Sharma L, Sharma B, Chandra KhS, Singh KhG, Meitei AJ. Idiopathic neonatal colonic perforation- a case report. Indian J Surg 2011;73(3):214–6.
10. Abo-Halawa NAE, Negm MA, Fathy M. The pattern of neonatal gastro-intestinal perforation in upper Egypt. Ann Pediatr Surg 2020;16(1):17.
11. Tiwari C, Sandlas G, Jayaswal S, Shah H. Spontaneous intestinal perforation in neonates. J Neonatal Surg 2015;4(2):14.
12. Basu S. Transition Zone in Hirschsprung's Disease. N Engl J Med 2020;383(21):e118.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Muhammad Mudasir Saleem, Mishal Pervaiz
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.
