The authors report 8 cases of primitive neonatal gastric perforation and try to define different etiologies. Mechanisms are varied. According to clinical context, intra-operative macroscopic aspect and histology, vascular, metabolic and mechanical processes are evoked. Each etiological theory is based upon animal experimentation and clinical experience. Actually, different factors are implicated. Latest progress in intensive care has considerably improved prognosis but it is however still serious.
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