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Perforation of the Stomach in a Newborn Infant

Am J Dis Child. 1962;103(1):66-71. doi:10.1001/archpedi.1962.02080020070011.
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To my knowledge only 12 cases of ruptured stomach in newborn infants with survival have appeared in the literature. The 13th survivor is the basis for this report.

Report of Case  A Negro female infant who weighed 2,948 gm. at birth, was born at the Columbia Hospital of Richland County on March 15, 1960. The membranes had ruptured 10 hours prior to delivery, and the amniotic fluid was meconium stained. At birth the infant was flaccid, taking only occasional gasping breaths. She responded to stimulation with slight muscle movement but no cry. Copious amounts of mucus and meconium-stained amniotic fluid were removed from the nose and mouthwith a bulb syringe, N-allylnormorphine hydrochloride was given, and positive pressure oxygen was administered using a resuscitator with a rubber face mask. By age 14 minutes regular respirations were established, and a few minutes later the patient had a weak cry.At age


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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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