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Idiopathic gastric rupture in a 3-month-old girl
T Shimizu1, T Horiuchi, S Hirooka
1Department of Paediatrics, Ikoma General Hospital, Ikoma City, Nara, Japan. tatsuosm@kcn.ne.jp
Insights
Idiopathic gastric rupture is an extremely rare condition in infants beyond the neonatal period. Prompt diagnosis and surgical intervention are crucial for saving children with this rare gastrointestinal emergency.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Medical Case Reports
Background:
- Idiopathic gastric rupture is a rare but life-threatening condition.
- It is exceptionally uncommon in infants beyond the neonatal period.
Observation:
- A 3-month-old girl presented with vomiting and abdominal distension.
- Metabolic acidosis and rotavirus infection were identified.
- Imaging revealed free air and fluid, suggesting gastrointestinal perforation.
Findings:
- Intraoperative findings confirmed idiopathic gastric rupture.
- The infant underwent surgical repair.
Implications:
- This case highlights the rarity of idiopathic gastric rupture in older infants.
- Early diagnosis and surgical management are critical for favorable outcomes in pediatric gastric emergencies.
Unlabelled:
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.