Razi Journal of Medical Sciences

Spontaneous g~stric perforation is a rare occurrence in the newborn. It occures most commonly during the first 5 days of life, especially in newborns subjected to severe stress or hypoxia.

The constellation of symptoms typically includes a sudden deterioration in clinical status between the second and fifth day of life, characterized by refusal to eat, vomiting, abdominal distention and respiratory distress. Free intraperitoneal air and fluid are demonstrable on plain X - Ray of the abdomen. Immediate surgical consultation should be sought.

In this article we are reporting a rare case of gastric perforation in a 2 day old newborn.