A Rare Case of Hope: Saving a Newborn with Spontaneous Intestinal Perforation
July 15 2025 | Medicover Hospitals | Navi MumbaiAt Medicover Hospitals, we believe every life is precious and sometimes, even the tiniest lives face the biggest challenges. This is the story of a brave newborn who defied the odds with the help of our expert NICU and pediatric surgery teams.
A Sudden Turn After Birth
Born at full term through a normal vaginal delivery, the baby showed promising signs at birth, crying soon after delivery. However, within a few hours, the baby began to show signs of respiratory distress and was immediately shifted to the Neonatal Intensive Care Unit (NICU).
A Race Against Time
On the very first day, the baby developed severe abdominal swelling. An urgent X-ray revealed Pneumoperitoneum, indicating a life-threatening perforation in the intestines. An emergency surgery (laparotomy) was performed, and doctors discovered a mid-ileal perforation with massive fecal peritonitis. A temporary ileostomy (a surgical opening in the intestine) was created to save the baby’s life.
Managing a High-Risk Condition
After the surgery, the baby was started on breast milk. However, the stoma output was abnormally high, leading to weight loss from the birth weight of 2.5 kg. To stabilize the baby, breast milk was temporarily stopped, and Total Parenteral Nutrition (TPN) was initiated.
With dedicated care, a tailored nutrition plan was introduced. This included:
- Cholestyramine
- Loperamide
- Probiotics
- Simyl MCT (a specialized formula with hydrolyzed protein)
The baby’s electrolytes, fluids, and nutrition were closely monitored and adjusted daily. Despite facing extrauterine growth retardation, the baby’s head circumference and length stayed on track, thanks to timely intervention and expert monitoring.
A Milestone Achieved
At two months and ten days, with a body weight of 2.9 kg, the baby underwent a successful stoma closure surgery. Feeding was resumed on day 5 post-surgery. Even when the baby faced a central line-related infection (CLABSI), our medical team responded swiftly with the right treatment.
Soon after, the baby began gaining weight, hitting an emotional milestone that brought smiles to the entire NICU: the first Social Smile.
Expert Team Behind the Recovery
This inspiring recovery was made possible by the relentless efforts and expertise of:
- Dr. Tanmesh Kumar Sahu - Consultant Neonatologist & NICU Incharge
- Dr. Pooja Goghare - Pediatric Surgeon
- Dr. Swapnil Patil - Consultant Pediatrician
A Message of Hope
Spontaneous Intestinal Perforation in newborns is extremely rare and life-threatening. Managing high-output stoma in such cases requires personalized care, continuous monitoring, and the right nutritional strategy.
There are no fixed protocols, but with dedication, innovation, and teamwork, even the most critical cases can lead to remarkable outcomes.
At Medicover Hospitals, we stand by every newborn, every parent, and every heartbeat with care that heals and hope that inspires.

Still have questions? Speak with our experts now!
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