Spontaneous focal gastrointestinal perforation in very low birth weight infants

Judy L. Aschner, Karl S. Deluga, Leon A. Metlay, Robert W. Emmens, Karen D. Hendricks-Munoz

Research output: Contribution to journalArticlepeer-review

102 Scopus citations


Spontaneous, focal gastrointestinal perforation occurred in six very low birth weight infants. The first recognized clinical sign of perforation in five of the six infants was striking blue-black discoloration of the abdominal wall. In all cases the clinical and radiographic presentations, as well as the histologic findings, were distinct from those associated with necrotizing enterocolitis. All 4 infants who underwent exploratory laparotomy and repair had excellent surgical outcomes.

Original languageEnglish (US)
Pages (from-to)364-367
Number of pages4
JournalThe Journal of Pediatrics
Issue number2
StatePublished - Aug 1988

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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