DOI: http://dx.doi.org/10.18203/2349-2902.isj20221727

A case of spontaneous gastric perforation in a 3 years old male child

Pinak Pani Dhar, Abhik Dey

Abstract


A 3 years old boy attended emergency department with history of abdominal distension, fever, vomiting, loose stools for 5 days. The boy was suffering from epilepsy from last 1 year of age and was under treatment. From history and clinical examination, it seemed to be a case of peritonitis. Abdominal ultrasound revealed debrigenous free fluid in peritoneal cavity. Emergency exploratory laparotomy done and pyloric perforation was noted and repaired by modified graham’s patch. The child, post-operatively, suffered from dys-electrolytemia and wound site infection and recovered with treatment.


Keywords


Gastric perforation, Spontaneous perforation, Paediatric population, Peritonitis

Full Text:

PDF

References


Nobuyuki M, Toshiro H, Tatsuo K. Lethal gastric rupture caused by acute gastric ulcer in a 6-year-old girl. Pediatr Surg Int. 2005;21:943-6.

Aroona S. Spontaneous gastric rupture in a pre-school child preceded by generalised fits and presenting with tension hydropneumoperitoneum. Int J Intg Med Sci. 2014;1(2):45-7.

Singh AP, Barolia DK, Bathia HV, Parmar VH, Mehta BA, Mehta S. Spontaneous gastric perforation in a 3 year old male child – A case report. IP J Paediatr Nurs Sci. 2021;4(3):115-7.

Barolia DK, Sethi D, Meena PS, Atal D, Rachhoya P. Gastric rupture - A rare presentation in blunt trauma abdomen: Case report by CT scan and intra operative finding. Int J Adv Res. 2015;3(8):342-3.

Soong WJ, Peng CS, Hwang B, Chin T, Wei CF. Stomach rupture associated with physical struggle in a child. J Pediatr Surg. 1996;31(12):1686-7.

Sharma S, Gopal SC. Gastric volvulus with perforation in association with congenital diaphragmatic hernia. Indian J Pediatr. 2004;71:948.

Rygl M, Pycha K. Perforation of the stomach by a foreign body in a girl with anorexia nervosa-case report. Rozhl Chir. 2002;81:628-30.

Millar TM, Bruce J, Paterson JR. Spontaneous rupture of the stomach. Br J Surg. 1957;44:513-6.

Qin H, Yao H, Zhang J. Gastric rupture caused by acute gastric distention in non-neonatal children: clinical analysis of 3 cases. Chin Med J. 2000;113:1147-9.

Adachi Y, Takamatsu H, Noguchi H, Tahara H, Mukai M, Akiyama H, et al. Spontaneous rupture of the stomach in preschool age children: a report of two cases. Surg Today. 1998;28:79-82.