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A Case of Small Bowel Ulcer Associated with Helicobacter pylori

Eun Young Kim1, Ji Hyun Kim, Saet Byul Woo

  • 1Department of Pediatrics, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.

Pediatric Gastroenterology, Hepatology & Nutrition
|September 7, 2013
PubMed

Insights

Helicobacter pylori can cause rare small bowel ulcers in children, even without other diseases. Eradicating H. pylori effectively treated a young patient's abdominal pain and ulcers.

Area of Science:

  • Pediatric Gastroenterology
  • Microbiology
  • Digestive Diseases

Background:

  • Peptic ulcer disease in children is often linked to Helicobacter pylori (H. pylori) or underlying conditions.
  • H. pylori typically causes duodenal bulb ulcers, as bile inhibits its growth lower in the small intestine.
  • Small bowel ulcers associated with H. pylori are infrequently reported.

Observation:

  • A case study involved an 11-year-old girl presenting with multiple small bowel ulcerative lesions.
  • The patient had no identifiable systemic diseases.
  • Esophagogastroduodenoscopy revealed lesions in the proximal jejunum.

Findings:

  • Multiple small bowel ulcerative lesions were found to be associated with H. pylori infection.
  • The patient's abdominal pain resolved following H. pylori eradication therapy.
  • This case highlights a rare presentation of H. pylori-associated small bowel ulceration.

Implications:

  • This case expands the known spectrum of H. pylori-related gastrointestinal pathology in pediatric patients.
  • It underscores the importance of considering H. pylori in pediatric cases of small bowel ulcers, even when atypical.
  • Further research may clarify the mechanisms and prevalence of H. pylori in the small bowel.

Keywords:
Helicobacter pyloriJejunumSmall bowelUlcer

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