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[Cushing's ulcer in a child (apropos of a case)]
Medecine Tropicale : Revue Du Corps De Sante Colonial
|January 1, 1988
Insights
Cushing's ulcer, a rare complication of neurologic diseases, causes significant acute digestive bleeding in children. Surgical intervention aims for preservation, but carries a high mortality risk.
Area of Science:
- Gastroenterology
- Neurology
- Pediatric Surgery
Background:
- Cushing's ulcer is an uncommon gastrointestinal complication.
- It arises during the regression phase of acute neurologic diseases.
Observation:
- This condition accounts for 30% of acute digestive hemorrhages in children.
- The prognosis for Cushing's ulcer is notably poor.
Findings:
- Surgical treatment emphasizes preservation.
- Classical surgical approaches include hemostatic ligation, pyloroplasty, and truncal vagotomy.
Implications:
- The high mortality rate (20%) underscores the severity of Cushing's ulcer.
- Minimally invasive and conservative surgical strategies are crucial for improving outcomes.
Abstract:
Cushing's ulcus is an uncommon disease occurring during the regression of acute neurologic diseases. It counts for 30 p.c. of causes of acute digestive hemorrhages in children. Prognosis is very bad and any surgical treatment has to be as preservative as possible, classically achieving a hemostatic ligation associated with a pyloroplasty and a truncal vagotomy. Mortality rate is 20 p.c.