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Abdominal Surgical Emergencies in Neonates. 2023

Pablo Laje
Division of General, Thoracic, and Fetal Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA.

Abdominal surgical emergencies are relatively common in neonates. Some of them are related to congenital diseases such as intestinal atresia and intestinal malrotation, whereas some are entirely postnatal conditions such as necrotizing enterocolitis and gastric perforation. While there is a wide range of clinical severity for these conditions, outcomes are most favorable with prompt identification and expeditious treatment. In this review, we describe the most common neonatal abdominal surgical emergencies, highlight the signs that can help with early detection, and explain the approach to diagnosis and management.

UI MeSH Term Description Entries
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D007409 Intestinal Atresia Congenital obliteration of the lumen of the intestine, with the ILEUM involved in 50% of the cases and the JEJUNUM and DUODENUM following in frequency. It is the most frequent cause of INTESTINAL OBSTRUCTION in NEWBORNS. (From Stedman, 25th ed) Atresia, Intestinal,Apple Peel Small Bowel Syndrome,Apple Peel Syndrome,Apple-Peel Intestinal Atresia,Congenital Intestinal Atresia,Familial Apple Peel Jejunal Atresia,Jejunal Atresia,Apple Peel Intestinal Atresia,Apple Peel Syndromes,Apple-Peel Intestinal Atresias,Atresia, Apple-Peel Intestinal,Atresia, Congenital Intestinal,Atresia, Jejunal,Atresias, Apple-Peel Intestinal,Atresias, Congenital Intestinal,Congenital Intestinal Atresias,Intestinal Atresia, Apple-Peel,Intestinal Atresia, Congenital,Intestinal Atresias, Apple-Peel,Intestinal Atresias, Congenital
D004630 Emergencies Situations or conditions requiring immediate intervention to avoid serious adverse results. Emergency
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D020345 Enterocolitis, Necrotizing ENTEROCOLITIS with extensive ulceration (ULCER) and NECROSIS. It is observed primarily in LOW BIRTH WEIGHT INFANT. Necrotizing Enterocolitis

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