PERFORATION OF THE GASTROINTESTINAL TRACT OF THE NEWBORN INFANT

Abstract

The medical literature has many excellent case reports and several good treatises on perforation of the gastrointestinal tract of the newborn infant, but the articles are scattered in specialized journals, or the cases are listed under such obscure titles in the indexes (peptic ulcer, fetal peritonitis, melena neonatorum, pneumoperitoneum or meconium peritonitis) that it is a tedious procedure even to locate the references. I have attempted to bring together in the accompanying table all of the cases of spontaneous perforation regardless of cause, but in view of the varied approaches to the condition 1 or more cases may have been overlooked. Cases of perforation associated with definite obstruction of the bowel, intrinsic or extrinsic, are not included; cases of intrauterine rupture of the appendix have also been omitted (Abt,¹Jackson,²Hill and Mason³). Perusal of the literature also revealed that authors differed in their interpretations of what