DUODENAL ulcers occurring in the neonatal period are infrequent. The majority of those recognized have bled seriously or perforated when first diagnosed.1-3 Recovery of a newborn infant with massive hemorrhage from a duodenal ulcer is rare. Operative intervention has usually been delayed and successful outcome has been reported previously in only three neonatal patients.4-6 It should be emphasized that the most common cause of massive gastrointestinal hemorrhage in the neonatal period is peptic ulceration, if hemorrhagic disease of the newborn is excluded. The patient in this report presented with exsanguinating hemorrhage, which began two hours after birth and which did not subside until operatively controlled. Suture ligation of the duodenal ulcer and Finney pyloroplasty on the second day of life successfully prevented further bleeding.
Report of a Case
No. 042078. An 8 lb 7 oz (3.6 kg) infant boy was admitted to the University of Michigan Medical Center