LAURA BETH MARTİN, FRANCİSCO JOSÉ GARCÍA DÍAZ, GEMA MATİLDE CALDERÓN LÓPEZ, ELİSA GARCÍA GARCÍA, ANA ISABEL GARRİDO OCAÑA
Pediatric Academic Case Reports - 2025;4(3):52-54
Background: Esophageal perforation in neonates is rare, challenging to diagnose, and associated with a high mortality rate. The condition most often arises from medical interventions, such as the insertion of enteric tubes or endotracheal intubation. Premature and low-birth-weight infants are particularly susceptible, while occurrences in full-term infants are extremely uncommon. In recent years, conservative management has become the preferred approach, with surgical intervention reserved for cases involving complications or lack of response to initial treatment. Case Report: We report a case of a term newborn who presented with respiratory distress and sialorrhea, diagnosed with an esophageal rupture, who made a full recovery with non-surgical management. Conclusion: Neonatal esophageal perforation is a rare yet potentially life-threatening condition; however, with early diagnosis, most cases can have a favorable prognosis when managed conservatively.
