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

Morikawa, Nobuyuki; Honna, Toshiro; Kuroda, Takeshi; Kitano, Yoshihiro; Fuchimoto, Yasushi; Terawaki, Kan; Tanaka, Keiichiro; Kawashima, Nozomu; Machigashira, Seiro; Matsuoka, Katsuyoshi

doi:10.1007/s00383-005-1523-5

Cited by 4 publications

(4 citation statements)

References 17 publications

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“…Cases of gastric dilatation with associated necrosis are frequently reported in the adolescent group with anorexia nervosa (AN) 12 13. Spontaneous gastric perforation alone in children with AN is extremely rare 14 15. We report a case of spontaneous gastric perforation occurring in an 11-year-old with AN.…”

Section: Introductionmentioning

confidence: 93%

Spontaneous gastric perforation in 11-year-old boy with anorexia nervosa: rare presentation with right iliac fossa pain

et al. 2012

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SummarySpontaneous gastric perforation is rare in children. It is usually associated with prematurity, foreign bodies and trauma. Anorexia nervosa (AN) can be an underlying condition although no cases are reported in the literature. We are reporting a rare case of 11-year-old boy with AN who presented with right iliac fossa pain mimicking acute appendicitis. Intraoperative findings proved a gastric perforation. Pathophysiology of this condition in AN is poorly understood. Gastric smooth muscle atrophy and ischaemia can be the possible underlying mechanisms. The case discussed here highlights the fact that any abdominal pain in patients with underlying eating disorders should raise suspicion of perforation as diagnosis can be far more complicated. BACKGROUND

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Section: Introductionmentioning

confidence: 93%

Spontaneous gastric perforation in 11-year-old boy with anorexia nervosa: rare presentation with right iliac fossa pain

et al. 2012

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“…Cases of gastric dilatation with associated necrosis are frequently reported in the adolescent group with AN 12 13. Spontaneous gastric perforation alone in children with AN is extremely rare 14 15. We report a case of spontaneous gastric perforation occurring in an 11-year-old boy with AN.…”

Section: Introductionmentioning

confidence: 93%

Spontaneous gastric perforation in an 11-year-old boy with anorexia nervosa: rare presentation with right iliac fossa pain

et al. 2012

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Spontaneous gastric perforation is rare in children. It is usually associated with prematurity, foreign bodies and trauma. Anorexia nervosa (AN) can be an underlying condition although no cases are reported in the literature. We are reporting a rare case of 1-year-old boy with AN who presented with right iliac fossa (RIF) pain mimicking acute appendicitis. Intraoperative findings proved a gastric perforation. Pathophysiology of this condition in AN is poorly understood. Gastric smooth muscle atrophy and ischaemia can be the possible underlying mechanisms. The case discussed here highlights the fact that any abdominal pain in patients with underlying eating disorders (EDs) should raise suspicion of perforation as diagnosis can be far more complicated.

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“…35 In childhood, fatal gastric rupture secondary to peptic ulcer disease is rarely reported. 36 This fatal and potentially treatable 'abdominal catastrophe' is clearly underreported, as only a small number of patients who die undergo autopsy. 37,38 Notably in the literature, the presentation of peptic ulcer disease is silent and painless, which further makes timely diagnosis difficult in elderly patients.…”

Section: Perforation Secondary To Ulcersmentioning

confidence: 99%

“…This article discusses the various congenital and acquired gastrointestinal conditions 1,2,4–63 that have resulted in sudden unexpected death. The possible lethal mechanisms behind each condition, along with any associated risk factors or secondary diseases, are described in detail.…”

Section: Introductionmentioning

confidence: 99%

Gastrointestinal causes of sudden unexpected death: A review

et al. 2017

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Gastrointestinal conditions are a less common cause of sudden unexpected death when compared to other conditions such as cardiovascular conditions, but they are equally important. Various congenital and acquired gastrointestinal conditions that have resulted in sudden unexpected death are discussed. The possible lethal mechanisms behind each condition, along with any associated risk factors or secondary diseases, have been described. Through this article, we aim to highlight the need for physicians to prevent death in such conditions by ensuring that subclinical cases are diagnosed correctly before it is too late and by providing timely and efficacious treatment to the patient concerned. In addition, this review would certainly benefit the forensic pathologist while dealing with cases of sudden unexpected death due to gastrointestinal causes. This article is a review of the major gastrointestinal causes of sudden unexpected death. In addition, related fatal cases encountered occasionally in forensic autopsy practice are also included. There are several unusual and rare causes of life-threatening gastrointestinal bleeding that may lead to sudden unexpected death to cover all the entities in detail. Nevertheless, this article is a general guide to the topic of gastrointestinal causes of sudden unexpected death.

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

Cited by 4 publications

References 17 publications

Spontaneous gastric perforation in 11-year-old boy with anorexia nervosa: rare presentation with right iliac fossa pain

Spontaneous gastric perforation in 11-year-old boy with anorexia nervosa: rare presentation with right iliac fossa pain

Spontaneous gastric perforation in an 11-year-old boy with anorexia nervosa: rare presentation with right iliac fossa pain

Gastrointestinal causes of sudden unexpected death: A review

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