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A case of spontaneous gastric rupture in a 5 years girl

D Salerno1, G Raiola, I Francica

  • 1UOC di Chirurgia Pediatrica, Azienda Ospedaliera "Pugliese-Ciaccio", Catanzaro. talaricovalentina@gmail.com.

La Pediatria Medica E Chirurgica : Medical and Surgical Pediatrics
|January 10, 2015
PubMed

Insights

A 5-year-old child experienced spontaneous gastric rupture without prior trauma or illness. Surgery revealed a posterior stomach wall rupture, highlighting potential muscular abnormalities in pediatric gastric emergencies.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Imaging

Background:

  • Spontaneous gastric rupture is a rare and life-threatening condition in children.
  • Prompt diagnosis and surgical intervention are critical for patient survival.
  • Etiology often remains unclear, necessitating thorough investigation.

Observation:

  • A 5-year-old child presented with severe symptoms and no history of trauma or gastrointestinal issues.
  • Abdominal X-ray and CT scan indicated free air and fluid, confirming gastrointestinal perforation.
  • Urgent surgery identified a rupture in the posterior wall of the stomach.

Findings:

  • The gastric rupture was successfully treated with a gastrectomy.
  • Post-operative recovery was uneventful.
  • Histopathological examination revealed muscular abnormalities in the gastric wall.

Implications:

  • This case underscores the importance of considering spontaneous gastric rupture in pediatric emergencies.
  • Muscular abnormalities may play a role in the pathogenesis of spontaneous gastric rupture.
  • Further research into the underlying causes of pediatric gastric emergencies is warranted.

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