A rare Diagnosis Perforated Gastric Ulcer in a 10 years old Girl, A rare Diagnosis for Age: A case report Perforated Gastric Ulcer
Student Research in Translational Medicine,
Vol. 5 (2023),
30 December 2023
https://doi.org/10.22037/srtm.v5.44015
Abstract
Perforated gastric ulcer (PGU) is exceedingly uncommon in children. In a child with acute abdomen and Pneumoperitoneum, an Appendiceal etiology is more often suspected as a likely cause. Failure or delay to diagnose a PGU can result in significant morbidity and even mortality.
We report a 10 years old girl with abdominal pain for 2 days with PGU. We did examination and we found generalized abdominal pain and performed Laparatomy and we found perforated gastric ulcer and repair with Omental patch. PGU is an uncommon cause of peritonitis in children and poses significant challenges in management. Strong suspicion and prompt appropriate intervention is necessary to avoid untoward outcomes. Researchers conclude that GOO secondary to ulceration can occur in the absence of H. pylori infection. PPU is a rare cause of abdominal pain in children, but still a PUD complication that requires surgery. PPU should be included in the differential diagnosis in patients presenting with acute abdominal pain of uncertain etiology and pneumoperitoneum. Laparoscopy is both diagnostic and therapeutic. Laparoscopic omental patch repair is a safe and effective treatment for PPUs. This case illustrate that perforated peptic ulcers should be considered in children presenting with acute abdomen.
- Pediatric peptic ulcer disease, Pediatric Gastric perforation, Emergency surgery, Acute abdomen.
How to Cite
References
G. Hattingh, R. D. Salas-Parra, A. Nuzhad, J. Salvador, and D. T. Farkas, “Duodenal perforation in the pediatric population: two rare cases at a small community hospital,” Journal of Surgical Case Reports, vol. 2020, no. 11, 2020.
S. Goyal, A. Garg, and S. Goyal, “Peptic perforation in children: A diagnostic dilemma,” 2017.
Ashish Lal Shrestha1and Anusha Shrestha2. Perforated Duodenal Ulcer in a Young Nepalese Girl: An Infrequent Diagnosis for Age. Hindawi Case Reports in Pediatrics Volume 2021, Article ID 6304309, 3 pages https://doi.org/10.1155/2021/6304309.
K. Azarow, P. Kim, B. Shandling, S.A. Ein,45-year experience with surgical treatment of peptic ulcer disease in children,J Pediatr Surg, 31 (6) (1996), pp. 750-753.
M.C. Hua, M.S. Kong, M.W. Lai, C.C. Luo,Perforated peptic ulcer in children: a 20-year experience.J Pediatr Gastroenterol Nutr, 45 (1) (2007),pp. 71-74,.
S.W. Bickler, M.W. Harrison, J.R. Campbell Perforated peptic ulcer disease in children: association of corticosteroid therapy,J Pediatr Surg, 28 (6) (1993), pp. 785-787.
R. Dohil, E. Hassall.Peptic ulcer disease in children,Baillieres Best Pract Res Clin Gastroenterol, 14 (1) (2000), pp. 53-73.
M.J. Edwards, S.J. Kollenberg, M.L. Brandt, D.E. Wesson, J.G. Nuchtern, P.K. Minifee, et al.Surgery for peptic ulcer disease in children in the post-histamine2-blocker era J Pediatr Surg, 40 (5) (2005), pp. 850-854.
D. Ertem Clinical practice: Helicobacter pylori infection in childhood,Eur J Pediatr (2012).
S. Schwartz, Y. Edden, B. Orkin, M. Erlichman. Perforated peptic ulcer in an adolescent girl.Pediatr Emerg Care, 28 (7) (2012), pp. 709-711.
A.C. Ford, A.T. Axon Epidemiology of Helicobacter pylori infection and public health implicationsHelicobacter, 15 (Suppl. 1) (2010), pp. 1-6.
SaraMorrisonaPeterNgobBillChiua Perforated peptic ulcer in the pediatric population: A case report and literature review. Journal of Pediatric Surgery Case Reports.Volume 1, Issue 12, December 2013, Pages 416-419.
Ciubotaru AD and Leferman CE. Case Report: Peptic ulcer disease following short-term use of nonsteroidal anti-inflammatory drugs in a 3-year-old child [version 2; peer review: 2 approved with reservations]. F1000Research 2021, 9:419.(https://doi.org/10.12688/f1000research.24007.2).
Raza A. Patel,1Susan S. Baker,2Wael N. Sayej,3and Robert D. Baker2 . Two Cases of Helicobacter pylori-Negative Gastric Outlet Obstruction in Children. Hindawi Publishing Corporation Case Reports in Gastrointestinal Medicine Volume 2011, Article ID 749850, 3 pages doi:10.1155/2011/749850.
Samuel Negash a, Tarekeng Jembere a, Gersam Abera b, Elias Kedir b, Beza Eshetu a. Gastric outlet obstruction due to peptic ulcer disease in a 5 years-old female child. Case report. June 23, 2022.International Journal of Surgery Case Reports.Volume 105, April 2023, 108086.
Alshehri A, Alsinan TA. Perforated duodenal ulcer secondary to deferasirox use in a child successfully managed with laparoscopic drainage: A case report. World J Clin Cases. 2022 Dec 6;10(34):12775-12780. doi: 10.12998/wjcc.v10.i34.12775. PMID: 36579108; PMCID: PMC9791504.
Incidence and Outcomes of Perforated Peptic Ulcers in Children: Analysis of the Kid's Inpatient Database and Report of Two Cases Treated by Laparoscopic Omental Patch Repair. 11 Feb 2019 https://doi.org/10.1089/lap.2018.0186.
Peptic ulcer disease in children.2020 . https://doi.org/10.33204/mucosa.706681.
Ashish Lal Shrestha 1 and Anusha Shrestha2 . Perforated Duodenal Ulcer in a Young Nepalese Girl: An Infrequent Diagnosis for Age. Hindawi Case Reports in Pediatrics Volume 2021, Article ID 6304309, 3 pages https://doi.org/10.1155/2021/6304309.
Genevieve Hattingh, Ruben D Salas-Parra, Afrin Nuzhad, Joselyn Salvador, Daniel T Farkas, Duodenal perforation in the pediatric population: two rare cases at a small community hospital, Journal of Surgical Case Reports, Volume 2020, Issue 11, November 2020, rjaa455.
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