Neonatal gastric perforation (NGP) is a rare and life-threatening complication. It represents approximately 7% of all neonatal gastrointestinal perforations (GIP) [1,2]. Although some cases are idiopathic, several causes have been identified: iatrogenic (nasogastric tube insertion, mechanical ventilation), congenital abnormalities with a gastric outlet obstruction, necrotizing enterocolitis, and drugs like steroids, among others. Prematurity and low birth weight have also been identified as risk factors for NGP [1,2].