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[Interstitial gastric emphysema in children].

C Baeza-Herrera1, H M Nájera-Garduño, L M García-Cabello

  • 1Departamento de Cirugía General, Hospital Pediátrico Moctezuma.

Revista De Gastroenterologia De Mexico
|July 24, 2001
PubMed
Summary

Gastric pneumatosis, a rare condition in children, is often linked to gastric emphysema. Pyloric obstruction is identified as a primary cause, with surgical intervention leading to survival in affected infants.

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Area of Science:

  • Pediatric Gastroenterology
  • Medical Imaging
  • Surgical Pediatrics

Background:

  • Gastric pneumatosis is an uncommon finding in pediatric patients, presenting as pneumatosis cystoides, emphysematous gastritis, or gastric emphysema.
  • This condition requires careful diagnostic consideration due to its varied presentations.

Observation:

  • The study describes four pediatric cases with interstitial gastric emphysema, identified through clinical and radiographic assessments.
  • Two patients presented with hypertrophic pyloric stenosis, while the other two had unspecific erosive gastritis.

Findings:

  • Interstitial gastric emphysema was suspected based on clinical course in all four patients.
  • Two patients with hypertrophic pyloric stenosis underwent the Fredet-Ramstedt procedure.

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  • All four patients survived the condition, highlighting the importance of accurate diagnosis and treatment.

    • Implications:

    • Pyloric and duodenal obstruction are identified as the principal etiologic factors in pediatric gastric emphysema.
    • Correct radiological diagnosis and appropriate therapeutic interventions are crucial for successful patient outcomes.
    • Understanding these associations aids in managing rare gastrointestinal emergencies in children.