6 months baby with multiple jejunal and ileal Perforation. Diagnosis and management??

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The us the entity of cases of gastro intestinal perforation in neonates. Usually this happens with the premature babies. The cause of this entity A. Necrosis due to enterocolitis B. Intestinal obstruction C. Iatrogenic D. Idiopathic It can happen with perforation of stomach , intestines and colon also and may be involving combination. The mortality of this case is high as pt present late for treatment Laparotomy with local repair, resection anastomosis, colostomy required as per requirement of the baby's treatment.

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How cum a baby developed perforation . Need detailed history. Must have developed peritonitis by now too .

@Nyemwang W Konyak

gastrorhicis good hygeine and clean the area