Over the past decade, multiple factors have changed the pattern of neonatal surgical emergencies. An increase in prenatal screenings and the development of neonatal tertiary care centers have changed the clinical approach to this kind of emergencies. In fact, most conditions, leading to gastrointestinal (GI) emergencies, are uncommon, and treatment in specialist centers enables concentration of appropriate resources and expertise. Comorbidity is common, particularly in the preterm or low-birth-weight infant.
In the literature, nobody specifies the cutoff that enables to define when rare emergencies could be considered as common or uncommon.
We propose our series, compared with others in the literature, in order to specify which emergencies, although rare, could be considered common or uncommon in neonates.
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Angotti R, Bulotta AL, Ferrara F, Molinaro F, Cerchia E, Meucci D, Messina M (2014) Uncommon surgical emergencies in neonatology. Pediatr Med Chir 36(5–6):99PubMedGoogle Scholar
De la Hunt MN (2006) The acute abdomen in the newborn. Semin Fetal Neonatal Med 11:191–197CrossRefGoogle Scholar
Filston HC (1998) Other causes of intestinal obstruction. In: O’Neill JA Jr et al (eds) Pediatric surgery, 5th edn. Mosby, St. Louis, pp 1215–1221Google Scholar
Grosfeld JL et al (1996) Gastrointestinal perforation and peritonitis in infants and children: experience with 179 cases over ten years. Surgery 120:650CrossRefGoogle Scholar
Lim CT, Yip CH, Chang KW (1994) Meconium ileus – a rare cause of neonatal intestinal obstruction in Malaysia. Singapore Med J 35(1):74–76PubMedGoogle Scholar
Messina M, Ferruci D, Meucci D, Buonocore G, Di Maggio G (2002) Neonatal intestinal occlusion due to duodenal duplication in association with malformed gallbladder sludge. Biol Neonate 81:210–212CrossRefGoogle Scholar
Messina M, Ferrucci E, Garzi A, Meucci D, Buonocore G (2003) A rare case of neonatal ileo-cecal valve stenosis due to covered iliac perforation. Biol Neonate 83:69–72CrossRefGoogle Scholar
Messina M, Ferrucci E, Meucci D, Di Maggio G, Molinaro F, Buonocore G (2005) Littre’s hernia in newborn infants: report of two cases. Pediatr Surg Int 21:485–487CrossRefGoogle Scholar
Puri P (2003) Duplications of the alimentary tract. In: Puri P (ed) Newborn surgery. Arnold, London, pp 479–488CrossRefGoogle Scholar
Raffensperger JG, Seeler RA, Moncada R (1970) Intestinal obstruction in the newborn. In: Raffensperger JG et al (eds) The acute abdomen in infancy and childhood. JB Lippincott Company, Philadelphia, pp 1–19Google Scholar
Rosser SB, Clark CH, Elechi EN (1982) Spontaneous neonatal gastric perforation. J Pediatr Surg 17:390–394CrossRefGoogle Scholar
Steves M, Ricketts RR (1987) Pneumoperitoneum in the newborn infant. Am Surg 53(4):226–230PubMedGoogle Scholar
Touloukian RJ (1973) Gastric ischemia: the primary factor in neonatal perforation. Clin Pediatr 12:219Google Scholar
Van Veenendaal M, Plötz FB, Nikkels PG, Bax NM (2004) Further evidence for an ischemic origin of perforation of the appendix in the neonatal period. J Pediatr Surg 39(8):e11–e12CrossRefGoogle Scholar
Weinberg G, Kleinhaus S, Boley SJ (1989) Idiopathic intestinal perforations in the newborn: an increasingly common entity. J Pediatr Surg 24:1007–1008CrossRefGoogle Scholar