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Case Reports in Surgery
Volume 2012, Article ID 316147, 3 pages
http://dx.doi.org/10.1155/2012/316147
Case Report

Case Report: Delayed Perforation after Definitive Treatment of Focal Intestinal Perforation with a Peritoneal Drain

1Spartanburg Regional Medical Center, 101 E. Wood St. Spartanburg, SC 29302, USA
2Arkansas Children's Hospital, One Children's Way, Little Rock, AR 72202, USA

Received 3 April 2012; Accepted 17 July 2012

Academic Editors: S. H. Ein and H. Kobayashi

Copyright © 2012 Brian G. A. Dalton et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Focal intestinal perforation (FIP) has long been described in the pediatric literature. Peritoneal drainage (PD) is widely used as treatment for focal intestinal perforation. Here we report a premature infant that underwent PD on day of life 9 for a FIP. The infant recovered well from this episode and was discharged home without known sequelae. Subsequently, the same patient presented 16 months later with peritonitis. A perforation was discovered at laparotomy without evidence of surrounding necrosis. Given this finding, we believe this second episode of perforation was at the same site as the initial episode of FIP. The finding of FIP has been described without findings of surrounding necrosis. However, we believe this to be the first report of delayed perforation greater than 1 year from initial presentation after FIP treated definitively with peritoneal drain.