Iatrogenic Oesophageal Perforation in an Extremely Low Birth Weight Newborn

We report a rare case of an extremely low birth weight (ELBW) baby with oesophageal perforation secondary to an oro-gastric tube insertion and concomitant milk pleural effusion diagnosed on chest radiography. Area of perforation was determined with lateral chest radiography. This is the first case described in the literature of a milk pleural effusion in the context of perforation of the inferior third of the oesophagus in an ELBW infant.