Perforated gastric ulcer: An unusual cause of peritonitis in children

Autor: Houssain Benhaddou, Maria Rkain, Abdelouhab Ammor, Siham Nasri
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: African Journal of Paediatric Surgery, Vol 17, Iss 3, Pp 115-118 (2020)
African Journal of Paediatric Surgery: AJPS
ISSN: 0189-6725
Popis: Perforated gastric ulcer is a particularly rare cause of peritonitis in children. Only few cases have been reported in the literature. It is a serious emergency condition which can be overlooked leading to life-threatening consequences. We report a case of a 12-year-old girl who presented with acute abdominal pain and signs of peritonitis. Surgical exploration found a gastric perforation on the anterior side of the antrum. Primary repair of the perforation was performed after thorough decontamination and taking biopsies from its edges. The post-operative period was uneventful. Helicobacter pylori test was negative. Histopathology result was suggestive of ulceration in the gastric wall and did not isolate H. pylori. Gastro-duodenal ulcer perforation should be considered in the differential diagnosis of children presenting with acute abdomen, especially when imaging showing pneumoperitoneum.
Databáze: OpenAIRE