Spontaneous gastric perforation in a neonate.

Congenital granular cell myoblastoma is one of the very rare tumor seen in pediaric age group. The female preponderance and failure to grow postnatally suggests the hypothesis of some intrauterine stimulus, Estrogen derived from fetal ovaries under the stimulus of chorionic gonadotropins may be this intrauterine stimulus. Various theories of the histogenesis of these neoplasms have been suggested ranging from lontogenic, fibroblastic, histiocytic, myogenic and neurogenic as reviewed by Blair and Edwards(4). The electron microscopic and immunocytochemical studies have indicated it to be of Schwann cell origin. The present case was seen in an eight hour old neonate and was treated by complete surgical excision without recurrence after one year of excision which is in agreement with earlier experienced). The case