{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T06:31:19Z","timestamp":1781332279736,"version":"3.54.1"},"reference-count":26,"publisher":"American Academy of Pediatrics (AAP)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,2,1]]},"abstract":"<jats:p>Abdominal surgical emergencies are relatively common in neonates. Some of them are related to congenital diseases such as intestinal atresia and intestinal malrotation, whereas some are entirely postnatal conditions such as necrotizing enterocolitis and gastric perforation. While there is a wide range of clinical severity for these conditions, outcomes are most favorable with prompt identification and expeditious treatment. In this review, we describe the most common neonatal abdominal surgical emergencies, highlight the signs that can help with early detection, and explain the approach to diagnosis and management.<\/jats:p>","DOI":"10.1542\/neo.24-2-e97","type":"journal-article","created":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T03:23:23Z","timestamp":1675221803000},"page":"e97-e106","source":"Crossref","is-referenced-by-count":4,"title":["Abdominal Surgical Emergencies in Neonates"],"prefix":"10.1542","volume":"24","author":[{"given":"Pablo","family":"Laje","sequence":"first","affiliation":[{"name":"*Division of General, Thoracic, and Fetal Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA"},{"name":"\u2020Children\u2019s Hospital of Philadelphia, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2023,2,1]]},"reference":[{"key":"2023020103055389000_B1","article-title":"Neonatal gastric perforation: 14-year experience from a tertiary neonatal intensive care unit [published online ahead of print July 29, 2021]","author":"Sakaria","journal-title":"Am J Perinatol"},{"issue":"1","key":"2023020103055389000_B2","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1007\/s00383-017-4205-1","article-title":"Neonatal gastric perforations in very low birth weight infants: a single center experience and review of the literature","volume":"34","author":"Babayigit","year":"2018","journal-title":"Pediatr Surg Int"},{"issue":"8","key":"2023020103055389000_B3","doi-asserted-by":"crossref","first-page":"1278","DOI":"10.1016\/j.jpedsurg.2015.04.007","article-title":"Prognostic factors and concomitant anomalies in neonatal gastric perforation","volume":"50","author":"Yang","year":"2015","journal-title":"J Pediatr Surg"},{"issue":"2","key":"2023020103055389000_B4","first-page":"160","article-title":"Prenatal detection of congenital duodenal obstruction-impact on postnatal care","volume":"9","author":"Saalabian","year":"2022","journal-title":"Children (Basel)"},{"issue":"1","key":"2023020103055389000_B5","doi-asserted-by":"crossref","first-page":"151140","DOI":"10.1016\/j.sempedsurg.2022.151140","article-title":"Congenital duodenal obstruction: advances in diagnosis, surgical management, and associated controversies","volume":"31","author":"Patterson","year":"2022","journal-title":"Semin Pediatr Surg"},{"issue":"10","key":"2023020103055389000_B6","doi-asserted-by":"crossref","first-page":"2111","DOI":"10.1016\/j.jpedsurg.2019.11.017","article-title":"Quality of life outcomes in children born with duodenal atresia","volume":"55","author":"Vinycomb","year":"2020","journal-title":"J Pediatr Surg"},{"issue":"4","key":"2023020103055389000_B7","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1053\/j.sempedsurg.2003.08.003","article-title":"Malrotation and volvulus in infancy and childhood","volume":"12","author":"Millar","year":"2003","journal-title":"Semin Pediatr Surg"},{"issue":"1","key":"2023020103055389000_B8","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.jpedsurg.2016.10.014","article-title":"The risk of midgut volvulus in patients with abdominal wall defects: a multi-institutional study","volume":"52","author":"Fawley","year":"2017","journal-title":"J Pediatr Surg"},{"issue":"1","key":"2023020103055389000_B9","doi-asserted-by":"crossref","first-page":"151141","DOI":"10.1016\/j.sempedsurg.2022.151141","article-title":"Diagnosis and management of intestinal rotational abnormalities with or without volvulus in the pediatric population","volume":"31","author":"Svetanoff","year":"2022","journal-title":"Semin Pediatr Surg"},{"issue":"6","key":"2023020103055389000_B10","doi-asserted-by":"crossref","first-page":"931","DOI":"10.2214\/AJR.21.27242","article-title":"Ultrasound for midgut malrotation and midgut volvulus: AJR expert panel narrative review","volume":"218","author":"Nguyen","year":"2022","journal-title":"AJR Am J Roentgenol"},{"issue":"5","key":"2023020103055389000_B11","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1542\/pir.2021-005177","article-title":"Intestinal atresias","volume":"43","author":"Rich","year":"2022","journal-title":"Pediatr Rev"},{"issue":"6","key":"2023020103055389000_B12","doi-asserted-by":"crossref","first-page":"949","DOI":"10.1016\/S0022-3468(75)80101-1","article-title":"Intestinal atresia in fetal dogs produced by localized ligation of mesenteric vessels","volume":"10","author":"Koga","year":"1975","journal-title":"J Pediatr Surg"},{"issue":"3","key":"2023020103055389000_B13","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.arcped.2020.12.010","article-title":"How can we improve perinatal care in isolated multiple intestinal atresia? 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