Aim This report describes our experience concerning gastrointestinal perforation (GI) due to Necrotizing enterocolitis (NEC) during a 10 year period.
Method The cases of 27 GI perforations, which were treated in our hospital, were retrospectively reviewed.
Results All patients were neonates and infants up to the age of 2 months. The study population consisted of 16 boys (59.3%) and 11 girls (40.7%). Twenty one (77.8%) neonates were pre-term and the median gestational age was 28 weeks. Twenty four (88.9%) cases of perforation underwent laparotomy. The overall mortality was 63%. Seventy six percent of the pre-term neonates and only 16.7% of the full-term died.
Conclusions GI perforation is still connected with a high mortality rate, with NEC being the main cause of death. The neonates who did not undergo surgery all died.