Rare gastrointestinal perforations in the neonatal period: Meckel diverticula and acute appendicitis; Two case reports

Abstract

Neonatal gastrointestinal perforation (GIP) is a pathology that can be observed in a highly heterogeneous group ranging from premature and low birth weight babies to healthy term babies. Here, we report two rare cases of GIP in the neonatal period with different pathologies. Our first case presented with spontaneous intestinal perforation in the first week of life is the perforated Meckel’s diverticulum. The second case presented with intestinal abscess and perforation is perforated appendicitis. Although there are similar risk factors in the etiology, the GIP pathologies in the neonatal period are very different from each other and their common characteristics are that they present with intestinal perforation in the first weeks of life. The correct diagnosis before the operation is very challenging due to insufficient laboratory and imaging methods. Careful clinical observation and timely surgical intervention protects against morbidity and mortality due to perforation.