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Perforated Gastric Ulcer: An Unusual Cause of Peritonitis in Children

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...

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Autores principales: Ammor, Abdelouhab, Nasri, Siham, Rkain, Maria, Benhaddou, Houssain
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8051632/
https://www.ncbi.nlm.nih.gov/pubmed/33342847
http://dx.doi.org/10.4103/ajps.AJPS_18_20
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author Ammor, Abdelouhab
Nasri, Siham
Rkain, Maria
Benhaddou, Houssain
author_facet Ammor, Abdelouhab
Nasri, Siham
Rkain, Maria
Benhaddou, Houssain
author_sort Ammor, Abdelouhab
collection PubMed
description 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.
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spelling pubmed-80516322021-04-23 Perforated Gastric Ulcer: An Unusual Cause of Peritonitis in Children Ammor, Abdelouhab Nasri, Siham Rkain, Maria Benhaddou, Houssain Afr J Paediatr Surg Case Report 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. Wolters Kluwer - Medknow 2020 2020-12-19 /pmc/articles/PMC8051632/ /pubmed/33342847 http://dx.doi.org/10.4103/ajps.AJPS_18_20 Text en Copyright: © 2020 African Journal of Paediatric Surgery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Ammor, Abdelouhab
Nasri, Siham
Rkain, Maria
Benhaddou, Houssain
Perforated Gastric Ulcer: An Unusual Cause of Peritonitis in Children
title Perforated Gastric Ulcer: An Unusual Cause of Peritonitis in Children
title_full Perforated Gastric Ulcer: An Unusual Cause of Peritonitis in Children
title_fullStr Perforated Gastric Ulcer: An Unusual Cause of Peritonitis in Children
title_full_unstemmed Perforated Gastric Ulcer: An Unusual Cause of Peritonitis in Children
title_short Perforated Gastric Ulcer: An Unusual Cause of Peritonitis in Children
title_sort perforated gastric ulcer: an unusual cause of peritonitis in children
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8051632/
https://www.ncbi.nlm.nih.gov/pubmed/33342847
http://dx.doi.org/10.4103/ajps.AJPS_18_20
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