title: Perforated duodenal ulcer presenting with shock in a child.
abstract: Presentation of peptic ulcer disease in children covers a broad spectrum ranging from subtle, and thus overlooked and underdiagnosed, to catastrophic, as in this case. It is important for the emergency physician to realize the potential morbidity and mortality of this disease and be aware of the spectrum of presentation for primary and secondary pediatric ulcer disease.
authors.affiliation: Department of Emergency Medicine, Medical Center of Delaware, Wilmington 19718, USA.
authors.forename: D
authors.initials: D
authors.lastname: Moon
authors.forename: D
authors.initials: D
authors.lastname: Weeks
authors.forename: B
authors.initials: B
authors.lastname: Burgess
authors.forename: R
authors.initials: R
authors.lastname: O'Connor
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology*; D000367:Age Factors; D002675:Child, Preschool; D004381:Duodenal Ulcer / Q000150:complications*; D006801:Humans; D008297:Male; D010439:Peptic Ulcer Perforation / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D012307:Risk Factors; D012771:Shock, Hemorrhagic / Q000209:etiology*