La Pediatria Medica e Chirurgica (Jun 2014)

A case of spontaneous gastric rupture in a 5 years girl

  • D. Salerno,
  • G. Raiola,
  • I. Francica,
  • M.C. Galati,
  • V. Talarico,
  • M. Aloe,
  • S. Spagnolo,
  • M. Barreca,
  • G. Gallo,
  • L. Tucci

DOI
https://doi.org/10.4081/pmc.2014.10
Journal volume & issue
Vol. 36, no. 3

Abstract

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We describe a case of spontaneous gastric rupture in a child of 5 years old. The patient reached us in a serious condition; the anamnesis was negative for traumatic events or gastrointestinal disorders. An abdominal X-ray and CT scan revealed free air and fluid in the abdominal cavity, leading to the diagnosis of gastro-intestinal perforation. Submitted to urgent surgery, a rupture of the posterior wall of the stomach was found that was treated with gastrectomy “à la demande”. The surgery follow-up was regular. Morphological and immunohistochemical study showed some muscular abnormalities of the muscular gastric wall.

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