Pneumoperitoneum in the neonate in Harare.

Thirteen neonates with pneumoperitoneum on X-ray underwent operation in Harare from January 1990 to May 1992. Perforations of multiple aetiologies were found in the stomach and small and large intestine. Depending on the site of perforation, treatment was primary closure, resection and anastomosis or exteriorization of the involved bowel. Unsuspected Hirschsprung's disease was found in two babies. Six babies died post operatively. Eight infants survived the immediate operation, but one died after subsequent operations.