<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0121-0319</journal-id>
<journal-title><![CDATA[Medicas UIS]]></journal-title>
<abbrev-journal-title><![CDATA[Medicas UIS]]></abbrev-journal-title>
<issn>0121-0319</issn>
<publisher>
<publisher-name><![CDATA[Universidad Industrial de Santander]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0121-03192026000200035</article-id>
<article-id pub-id-type="doi">10.18273/revmed.v39n2-2026005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Perforación gástrica espontánea en el neonato: más allá de la enterocolitis -presentación de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Spontaneous gastric perforation in the neonate: beyond enterocolitis - a case presentation]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ballén-Pinilla]]></surname>
<given-names><![CDATA[Leidy Daniela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrera-Suárez]]></surname>
<given-names><![CDATA[María José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Galvis-Blanco]]></surname>
<given-names><![CDATA[Silvia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Belalcázar-Padilla]]></surname>
<given-names><![CDATA[Sandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad del Rosario  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de la Sabana  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario Mayor MEDERI  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2026</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2026</year>
</pub-date>
<volume>39</volume>
<numero>2</numero>
<fpage>35</fpage>
<lpage>40</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0121-03192026000200035&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0121-03192026000200035&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0121-03192026000200035&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La perforación gástrica neonatal se define como la ruptura espontánea o secundaria de la pared gástrica en el recién nacido, con extravasación de contenido hacia la cavidad peritoneal y rápida progresión a peritonitis y sepsis. Esta patología es infrecuente, pero potencialmente fatal, y constituye una emergencia quirúrgica. Su etiología es multifactorial e incluye anomalías congénitas, infección, factores iatrogénicos y causas idiopáticas. Se presenta un recién nacido pretérmino de 36 semanas, hospitalizado por taquipnea transitoria, que desarrolló deterioro súbito con distensión abdominal. La radiografía evidenció neumoperitoneo, lo que motivó a una laparotomía exploratoria, identificándose perforación de 3,5 cm en la curvatura mayor gástrica. Se efectuó cierre primario y manejo en UCI neonatal con evolución favorable y reintroducción progresiva de vía enteral. No se documentaron hallazgos de enterocolitis necrosante ni necrosis gástrica. Aunque se consideraron sonda orogástrica y ventilación no invasiva como posibles factores causales, no se pudo confirmar su implicación. Por ello, se interpretó como una probable perforación idiopática asociada a prematuridad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Neonatal gastric perforation is the rupture of the gastric wall in a newborn, causing leakage of gastric contents into the peritoneal cavity with rapid progression to peritonitis and sepsis. Although uncommon, it is potentially fatal and represents a surgical emergency. Its etiology is multifactorial, including congenital anomalies, infection, iatrogenic factors, and idiopathic causes. We report a 36-week preterm newborn initially hospitalized for transient tachypnea who developed sudden clinical deterioration with abdominal distension. Abdominal radiography revealed pneumoperitoneum. Exploratory laparotomy identified a 3.5 cm perforation along the greater curvature of the stomach. Primary closure was performed, followed by neonatal intensive care, with favorable evolution and gradual reintroduction of enteral feeding. No evidence of necrotizing enterocolitis or gastric necrosis was found. Although orogastric tube placement and noninvasive ventilation were considered possible contributing factors, they were not confirmed. The perforation was ultimately considered likely idiopathic and associated with prematurity.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[perforación espontánea]]></kwd>
<kwd lng="es"><![CDATA[rotura gástrica]]></kwd>
<kwd lng="es"><![CDATA[recién nacido prematuro]]></kwd>
<kwd lng="es"><![CDATA[laparotomía]]></kwd>
<kwd lng="en"><![CDATA[spontaneous perforation]]></kwd>
<kwd lng="en"><![CDATA[stomach rupture]]></kwd>
<kwd lng="en"><![CDATA[infant]]></kwd>
<kwd lng="en"><![CDATA[premature]]></kwd>
<kwd lng="en"><![CDATA[laparotomy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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