Gastric pneumatosis in a preterm infant: A case report
DOI:
https://doi.org/10.47338/jns.v12.1209Keywords:
Gastric pneumatosis, Intramural gas, Preterm, Necrotizing enterocolitisAbstract
Background: Gastric pneumatosis is a rare condition characterized by the presence of intramural gas in the stomach wall. It is uncommon in infants and is usually caused by proximal intestinal obstruction or necrotizing enterocolitis, a serious condition typically seen in preterm babies.
Case Presentation: An extremely preterm baby born at 23 weeks of gestation weighing 640 grams, with bronchopulmonary dysplasia and other comorbidities like patent ductus arteriosus, staph aureus sepsis, developed abdominal distension and non-bilious vomiting at 4 months of age. X-ray abdomen revealed gastric pneumatosis. The condition was managed with conservative measures.
Conclusion: Gastric pneumatosis secondary to necrotizing enterocolitis is uncommon in infants and needs prompt evaluation and management to prevent further deterioration.
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Ting YJ, Chan KL, Wong SC, Chim S, Wong KY. Gastric pneumatosis in a premature neonate. AJP Rep. 2011; 1:11-14. Available from: https://doi.org/10.1055/s-0030-1271218.
Markel TA, Wanner MR, Billmire DF. Gastric pneumatosis secondary to pyloric stenosis. J Pediatr Surg. 2013; 48:655-7. Available from: https://doi.org/10.1016/j.jpedsurg.2012.12.018.
Abusalah ZG, George J. Preterm baby with gastric pneumatosis: a new association with a desirable outcome. BMJ Case Rep. 2019;12: e230188. Available from: https://doi.org/10.1136/bcr-2019-230188.
Chew SJ, Victor RS, Gopagondanahalli KR, Chandran S. Pneumatosis intestinalis in a preterm infant: should we treat all intestinal pneumatosis as necrotising enterocolitis? BMJ Case Rep. 2018; 2018: bcr2018224356. Available from: https://doi.org/10.1136/bcr-2018-224356.
Bajaj M, Ogilvy-Stuart AL. Gastric pneumatosis/interstitial emphysema of the stomach. Arch Dis Child Fetal Neonatal Ed. 2004; 89: F188. Available from: https://doi.org/10.1136/adc.2003.034272.
Chesley P, Stark R, McAdams R, Effmann E, Drugas G. Isolated gastric pneumatosis in a premature infant following steroid exposure. J Pediatr Surg Case Rep. 2014; 2:436–8.
Taylor DR, Tung JY, Baffa JM, Shaffer SE, Blecker U. Gastric pneumatosis following cardiac surgery. Eur J Pediatr. 2000; 159:553-4. Available from: https://doi.org/10.1007/s004310051338.
Penninga L, Werz MJ, Reurings JC, Nellensteijn DR. Gastric pneumatosis in a small-for-gestational-age neonate. BMJ Case Rep. 2015;2015: bcr2014208390. Available from: https://doi.org/10.1136/bcr-2014-208390.
Mandell GA, Finkelstein M. Gastric pneumatosis secondary to an intramural feeding catheter. Pediatr Radiol. 1988; 18:418-20. Available from: https://doi.org/10.1007/BF02388053.
Fenton LZ, Buonomo C. Benign pneumatosis in children. Pediatr Radiol. 2000; 30:786-93. Available from: https://doi.org/10.1007/s002470000303.
Bayoumi MAA, Elmalik EE. Gastric pneumatosis in a preterm infant following initial empiric antibiotic therapy. BMJ Case Rep. 2021;14: e246446. Available from: https://doi.org/10.1136/bcr-2021-246446.
Travadi JN, Patole SK, Simmer K. Gastric pneumatosis in neonates: revisited. J Paediatr Child Health. 2003; 39:560-2. Available from: https://doi.org/10.1046/j.1440-1754.2003.00220.x.
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