Spontaneous gastric rupture in non-neonatal children: a case report.
This case reports an idiopathic gastric rupture in a 3-year-old girl who had an episode of nausea and vomiting after a large meal. Abdominal ultrasound and CT scan revealed free air and fluid in the abdominal cavity, leading to the diagnosis of gastro-intestinal perforation. During emergency surgery, gastric rupture was detected on the anterior wall of the gastric body near the greater curvature and treated by performing a sleeve gastrectomy. The intra-operative course was complicated by a cardiac arrest. The child survived following intensive postoperative care. All articles on spontaneous idiopathic gastric rupture in pre-school age children have only been reported in Japanese and Chinese literature.
Libeer
F
F
Department of Surgery, Sint-Augustinus, Wilrijk, Belgium. flibeer@skynet.be
Vanhamel
N
N
Huyghe
M
M
Verlinden
E
E
D002675:Child, Preschool; D005260:Female; D005743:Gastrectomy; D054439:Ghrelin / Q000097:blood; D006323:Heart Arrest / Q000209:etiology; D006465:Hemoperitoneum / Q000209:etiology; D006801:Humans; D013275:Stomach Rupture / Q000097:blood / Q000150:complications / Q000523:psychology* / Q000601:surgery*; D014839:Vomiting / Q000523:psychology
D054439:Ghrelin