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KMID : 0367419690100080027
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Journal of Korean Pediatric Society
1969 Volume.10 No. 8 p.27 ~ p.29
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Perforation of the Stomach due to Congenital Defect of the Musculature
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李在星/Lee, Jae Sung
李龍宰/全世鍾/趙南祉/Lee, Yong Jae/Cho, Nam Ji/Chun, Sei Chong
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Abstract
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This is a case report of the gastric perforation occured in a 3 days old premature baby, birth weight: 2. 2kg, 30 weeks gestation with developing frequent vomiting, high fever and abdominal distention since first day of life.
X-ray finding of abdomen revealed large amount of free air under the diaphragma, strongly suggesting the perforation. of G-I tract, but the baby was died on next day of hospitalization without any surgical intervention.
Postmortem Examination
1. Generalized peritonitis, and about 50 cc of fibropurulent exudate fluid was obtained.
2. Small perforated lesion of 3 cm in diameter at near the lesser curvature.
Microscopic Findings
Defect of musculature on perforated area.
The cause of death was acute diffuse peritonitis and dyspnia due to pneumoperitoneum.
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