ArticleInternational journal of surgery case reports2026
Spontaneous gastric perforation in a term neonate: a case report and literature review.
Article in International journal of surgery case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Spontaneous neonatal gastric perforation is a rare surgical emergency, predominantly seen in preterm neonates. Its occurrence in term neonates with normal birth weight and without identifiable risk factors is uncommon. Delayed recognition is associated with high morbidity and mortality. Case Presentation: We report the case of a 4-day-old female term neonate with normal birth weight who developed progressive abdominal distension and non-bilious vomiting 2 days after admission to the neonatal intensive care unit for perinatal asphyxia and early-onset neonatal sepsis. Radiographic evaluation revealed free air under the right hemidiaphragm. Emergency laparotomy identified a small perforation on the anterior wall of the gastric body, which was successfully managed with primary repair. The postoperative course was uneventful. Discussion: The etiology of spontaneous gastric perforation in neonates remains controversial. Proposed mechanisms include gastric ischemia, congenital weakness of the gastric wall, and increased intragastric pressure. Prompt diagnosis and urgent surgical intervention are essential for improved outcomes. Conclusion: Gastric perforation can occur in term neonates with normal birth weight. Resuscitation with bag-and-mask ventilation and nasogastric tube insertion may represent potential risk factors. Early recognition and timely surgical intervention can result in favorable outcomes, even in low-resource settings.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.