Esophageal Perforation Resulting From Nonaccidental Trauma in a Neonate: A Case Report

Esophageal perforation (EP) resulting from nonaccidental trauma in a neonate is extremely rare. We report a previously healthy 12-day-old neonate presenting with stridor, respiratory distress, and bloody vomitus. Clinical, radiographic, and endoscopic evaluations confirmed the diagnosis of EP. The patient received respiratory support, remained on nothing by mouth (NPO) status, and was administered parenteral nutrition for seven days until healing was confirmed. Upon resuming oral feeding, the neonate tolerated it well and was discharged home. A follow-up endoscopy, six weeks later, revealed normal findings. Early recognition and treatment of EP are crucial to prevent complications. To our knowledge, this is the youngest reported case of EP due to nonaccidental trauma.