PERFORATION OF SMALL INTESTINE IN PREMATURE NEONATE - POSTOPERATIVE MANAGEMENT CASE REPORT

Silvana Naunova Timovska; Hristina Mandzukovska; Iskra Martinovska; Olgica Atanasova; Eva Kraljeva

Silvana Naunova Timovska University Clinic for Pediatric Diseases, Faculty of Medicine, University "St. Cyril and Methodius" University in Skopje, North Macedonia
Hristina Mandzukovska University Clinic for Pediatric Diseases, Faculty of Medicine, University "St. Cyril and Methodius" University in Skopje, North Macedonia
Iskra Martinovska PHI Special Hospital for Gynecology and Obstetrics “Mother Teresa” – Chair, Skopje, North Macedonia
Olgica Atanasova University Clinic for Pediatric Diseases, Faculty of Medicine, University "St. Cyril and Methodius" University in Skopje, North Macedonia
Eva Kraljeva University Clinic for Pediatric Diseases, Faculty of Medicine, University "St. Cyril and Methodius" University in Skopje, North Macedonia

Abstract

Gastrointestinal perforation (GIP) in neonates is a severe, acute, life-threatening condition associated with multiple complications and a high mortality rate. It is most often associated with necrotizing enterocolitis, but it also often occurs spontaneously due to local intestinal ischemia. Early detection and timely surgical intervention, with appropriate respiratory support and individualized nutritional support, are crucial in the outcome and survival of extremely premature neonates. We present a case of postoperative management of an extremely premature infant from a twin pregnancy after surgical intervention due to intestinal perforation.

Keywords: premature neonate, spontaneous gastrointestinal perforation, necrotizing enterocolitis

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