EC Paediatrics

Case Report Volume 13 Issue 8 - 2024

Iatrogenic Pharyngo-Esophageal Perforation in Neonate: A Rare Yet Significant Challenge in Modern Neonatal Care

Mohamed Sakr1, Palanikumar Balasundaram2*, Alanna M Windsor3 and Mariam Susan LaTuga1

1Department of Pediatrics, The Children’s Hospital at Montefiore and Albert Einstein College of Medicine, NY, USA
 2Division of Neonatology, Department of Pediatrics, Mercy Health - Javon Bea Hospital, IL, USA
 3Division of Pediatric Otolaryngology, The Children’s Hospital at Montefiore and Albert Einstein College of Medicine, NY, USA

*Corresponding Author: Palanikumar Balasundaram, Division of Neonatology, Department of Pediatrics, Mercy Health - Javon Bea Hospital, Rockford, IL, USA.
Received: June 27, 2024; Published: July 03, 2024




Iatrogenic pharyngo-esophageal perforation (IPEP) in neonates is an uncommon yet critical medical complication. IPEP poses an exceptionally high risk for preterm neonates born at less than 28 weeks of gestation or with a birth weight below 1500g. Neonatal IPEP primarily stems from medical procedures such as nasogastric or orogastric tube insertion, multiple attempts at endotracheal intubation, and pharyngeal suctioning. We present a preterm neonate born at 24 weeks and six days of gestational age with pyriform sinus perforation, a phenomenon previously unreported in this population, diagnosed with the use of point-of-care ultrasound (POCUS). The management of neonatal IPEP is shifting from surgical intervention to conservative strategies that prioritize nutritional support, antibiotic therapy, and the utilization of POCUS. This manuscript emphasizes the critical need for safe medical procedures and careful monitoring in neonatal care to promptly recognize IPEP and minimize its associated morbidity and mortality.

 Keywords: Esophageal Perforation; Pharyngeal Perforation; Pyriform Sinus Perforation; Preterm; Neonates; Iatrogenic; Point-of-Care Ultrasound

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Mohamed Sakr., et al. "Iatrogenic Pharyngo-Esophageal Perforation in Neonate: A Rare Yet Significant Challenge in Modern Neonatal Care". EC Paediatrics 13.8 (2024): 01-06.

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