Idiopathic gastric rupture in a 3‐month‐old girl

Abstract

This case reports on idiopathic gastric rupture in a 3‐mo‐old girl who had frequent episodes of vomiting and abdominal distension the day before admission to the clinic. Metabolic acidosis was detected and rotavirus antigen was identified in the stools. Abdominal X‐rays and CT scans revealed free air and fluid in the abdominal cavity, leading to a diagnosis of gastrointestinal perforation. During surgery, idiopathic gastric rupture was detected and treated. The postoperative course was uneventful. Conclusion: Idiopathic gastric rupture is extremely rare in childhood beyond the neonatal period. Early diagnosis and surgery are mandatory if children with this condition are to be saved.

Ruptura gástrica idiopática en niño preescolar. Informe de un caso

“…2 Habitualmente, las perforaciones gástricas en adultos son secundarias a úlcera péptica 1 o tumor, 3 mientras que en los neonatos existen factores de riesgo asociados a esta entidad, con asfixia, prematurez, isquemia, ausencia congénita de la musculatura gástrica o aumento de la presión intraluminal. de vía aérea), sonda nasogástrica o ventilación a presión positiva.…”

“…2 En pacientes pediátricos no neonatos se han propuestos diversos factores etiológicos, pero en la mayoría su origen sigue siendo desconocido. Nuestro objetivo es comunicar un caso de ruptura gástrica idiopática en una niña de dos años de edad, donde revisamos signos, síntomas, consideraciones diagnósticas y terapéuticas de esta entidad.…”

Lethal gastric rupture caused by acute gastric ulcer in a 6-year-old girl

“…Although spontaneous gastric rupture in neonates has been proposed to attribute to some factors including congenital absence of gastric musculature, prematurity, ischemia, and increased gastric pressure due to other gastrointestinal lesions or inadequate ventilation [10][11][12], the etiology of this condition in children still remains obscure. It has been reported that overeating or severe vomiting may contribute to increased luminal pressure resulting in idiopathic gastric rupture in children [2,3]. On the other hand, several mechanisms such as blunt abdominal trauma [4][5][6], cardiopulmonary resuscitation [7,8], the Heimlich maneuver [9], and diving [13] are known to directly cause gastric perforation.…”

“…Gastric rupture is sometimes seen in the neonatal period, but rarely develops in childhood [1][2][3]. Although spontaneous gastric rupture in neonates has been proposed to attribute to some factors including congenital absence of gastric musculature, prematurity, ischemia, and increased gastric pressure due to other gastrointestinal lesions or inadequate ventilation [10][11][12], the etiology of this condition in children still remains obscure.…”

“…Gastric rupture sometimes occurs in the neonatal period, but is rarely seen in children [1][2][3]. Most of the gastric rupture cases in children are attributed to increased intraluminal pressure due to blunt trauma [4][5][6].…”