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Perforated peptic ulcer in an infant
Summary
Perforated peptic ulcer (PPU) is rare in infants. Early recognition and surgical intervention are crucial for successful management of this serious condition.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Perforated peptic ulcer (PPU) in infancy is a rare but life-threatening condition.
- Risk factors may include stress from illness, NSAID use (like ibuprofen), and Helicobacter pylori infection.
Observation:
- A 9-month-old boy presented with abdominal distension, a key sign of PPU.
- He had a preceding 2-week upper respiratory infection with fever, treated with ibuprofen.
- Radiography confirmed pneumoperitoneum (football sign).
Findings:
- Laparotomy revealed a 0.8-cm perforated hole in the prepyloric area.
- Pathology confirmed chronic peptic ulcer with H. pylori infection.
- Simple closure with omental patching was performed successfully.
Implications:
- This case highlights the importance of considering PPU in infants with abdominal distension, especially after NSAID exposure.
- Prompt surgical intervention is vital for improving outcomes in infantile PPU.
- Identifying contributing factors like H. pylori is essential for preventing recurrence.