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Brief clinical report| Volume 75, ISSUE 4, P617-620, April 1974

Pinhole colonic perforation in breech-born infants

DOI:https://doi.org/10.5555/uri:pii:0039606074903420
Pinhole colonic perforation in breech-born infants
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      Abstract

      A premature infant, second of twins, was born in assisted breech presentation with a pinhole perforation at the right colonic flexure. Similar colonic perforations have been reported earlier in breech-born infants. The genesis of this type of intestinal perforation is discussed. It is assumed that external compression of the cervical ring during delivery in assisted breech presentation can cause a rapid pressure rise inside the colonic flexures. In model studies in rabbits and in a postmortem specimen it is shown that a pinhole perforation of the intestinal wall occurs when the pressure inside the lumen increases rapidly.
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      References

        • Anderson G.S.
        Spontaneous perforation of the fetal colon.
        Am. J. Dis. Child. 1962; 103: 166
        • Andersson Å
        • Hofer P.-Å.
        • Holmlund D.E.W.
        • Wendel H.
        Colonic perforation secondary to thrombo-embolus from an umbilical artery catheter.
        Acta Pediatr. Scand. 1974; 63: 155
        • Bergman F.O.
        • Borgström S.J.H.
        • Holmlund D.E.W.
        Synthetic absorbable surgical suture material (PGA).
        Acta Chir. Scand. 1970; 137: 193
        • Castor W.R.
        Spontaneous perforation of the bowel in the newborn following exchange transfusion.
        Can. Med. Assoc. J. 1968; 99: 934
        • Corkery J.J.
        • Dubowitz V.
        • Lister J.
        • Moosa A.
        Colonic perforation after exchange transfusion.
        Br. Med. J. 1968; 4: 345
        • Friedman A.B.
        • Abellera R.M.
        • Lidsky I.
        • Lubert M.
        Perforation of the colon after exchange transfusion in the newborn.
        N. Engl. J. Med. 1970; 282: 796
        • Levin S.E.
        • Isaacson C.
        Spontaneous perforation of the colon in the newborn infant.
        Arch. Dis. Child. 1960; 35: 378
        • Nienhuis L.I.
        Colon perforation in the newborn.
        Am. Surg. 1963; 29: 835
        • Orme R.I.E.
        • Eades S.
        Perforation of the bowel in the newborn as a complication of exchange transfusion.
        Br. Med. J. 1968; 4: 349
        • Rehbein F.
        • Wolfram J.
        Meconium peritonitis.
        Chirurg. 1959; 30: 149
        • Rickham P.P.
        Peritonitis in the neonatal.
        Arch. Dis. Child. 1955; 30: 23
        • Skiles J.H.
        Prenatal rupture of the intestinal wall with subsequent dystonia.
        J. A. M. A. 1928; 90: 1618
        • Zillner E.
        Ruptura flexurae sigmoidis neonati inter partum.
        Virchows Arch. Pathol. Anat. 1881; 96: 1999

      Article info

      Publication history

      Accepted: October 29, 1973

      Identification

      DOI: https://doi.org/10.5555/uri:pii:0039606074903420

      Copyright

      © 1974 Published by Elsevier Inc.

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