Idiopathic spontaneous intestinal perforation in neonates; explorative laparatomy or primary peritoneal drainage? 
Jordan Med. J. 2015;
49
(1):
1-6 Mohammed Adnan A.
Jordan Medical Journal Journal Country: Jordan
ISSN: 0446-9283
Indexing Status : In Process
Objective: To highlight our management of idiopathic spontaneous intestinal perforation [ISIP] in two medical teaching hospitals Methods: Retrospective study was done between Sept.2003-Sept 2011
Results:
The total number of patients was 9. The gestational age ranged between 27-29 weeks. The age at presentation ranged between 8-21 days. All the patients were males. Clinically there was severe tympanic abdominal distention. Radiologically there was severe pneumoperitonium. Operatively there was single perforation with normal surrounding bowel. The treatment was primary explorative laparotomy in 4/9 patients and primary peritoneal [PPD] drainage in 5/9 patients. The total survival rate was 77.7%. The total morbidity rate was 25%. The morbidity and mortality rate after PPD were zero
Citation: Adnan A. Mohammed , Idiopathic spontaneous intestinal perforation in neonates; explorative laparatomy or primary peritoneal drainage?, Jordan Med. J. 2015; 49 (1): 1-6
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