Perforated gastric ulcer: An unusual cause of peritonitis in children
Autor: | Houssain Benhaddou, Maria Rkain, Abdelouhab Ammor, Siham Nasri |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Perforation (oil well) lcsh:Surgery Peritonitis Case Report Pneumoperitoneum children medicine perforation peritonitis Antrum biology business.industry gastric ulcer lcsh:RJ1-570 Histopathology Result lcsh:Pediatrics lcsh:RD1-811 Helicobacter pylori medicine.disease biology.organism_classification digestive system diseases Surgery Acute abdomen Pediatrics Perinatology and Child Health pneumoperitoneum medicine.symptom Differential diagnosis business |
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 |
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