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Isolated double gastric rupture caused by blunt abdominal trauma in an eighteen months old child: a case report

S Roupakias1, G Tsikopoulos, C Stefanidis

  • 1Pediatric Surgery Departement, Hippokration General Hospital of Thessaloniki, Greece.

Hippokratia
|October 17, 2008
PubMed

Insights

A rare case of double gastric rupture in an 18-month-old girl due to blunt trauma was successfully treated with primary closure. Early diagnosis and aggressive surgical intervention are crucial for favorable outcomes in pediatric gastric rupture.

Area of Science:

  • Pediatric Surgery
  • Trauma Surgery
  • Gastrointestinal Surgery

Background:

  • Blunt abdominal trauma can cause gastric rupture, a rare injury with significant morbidity and mortality.
  • Isolated double gastric rupture is exceptionally uncommon, particularly in pediatric patients.

Observation:

  • An 18-month-old female sustained blunt abdominal trauma from a motor vehicle accident.
  • Radiological imaging revealed free intra-abdominal air, necessitating an exploratory laparotomy.
  • The surgery identified two full-thickness gastric ruptures, which were repaired via primary two-layer closure.

Findings:

  • Postoperatively, the patient developed chemical peritonitis, followed by septic shock and gastrorrhagia due to stress ulcers.
  • Conservative management in the pediatric intensive care unit led to recovery.
  • The patient was discharged on the 20th postoperative day and showed normal growth and feeding at 3-month follow-up.

Implications:

  • This case highlights the importance of early diagnosis and aggressive surgical management for pediatric gastric rupture.
  • Prompt intervention can reduce mortality and morbidity associated with this rare traumatic injury.
  • Primary closure can be a successful treatment modality for isolated gastric ruptures in children.

Keywords:
blunt abdominal traumachildrengastric rupture

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