[Chronic gastric ulcer in a child not diagnosed during life]

A P Nadeev1, M A Karpov1, M A Travin1

  • 1Novosibirsk State Medical University, Novosibirsk, Russia.

Arkhiv Patologii
|June 5, 2023
PubMed

Insights

Chronic gastric ulcers are rare in children. A case report details a fatal outcome in a 7-year-old girl due to complications including liver penetration and abdominal sepsis.

Area of Science:

  • Pediatric Gastroenterology
  • Gastrointestinal Pathology

Background:

  • Chronic gastric ulcers are uncommon in pediatric populations.
  • Understanding the epidemiology and etiology of pediatric gastric ulcers is crucial for early diagnosis and management.

Observation:

  • This article details a rare case of chronic gastric ulcer in a 7-year-old girl.
  • The ulcer presented with severe complications, including penetration into the liver and perforation.
  • These complications led to the development of abdominal sepsis.

Findings:

  • The case highlights the potential for severe, life-threatening complications from chronic gastric ulcers in children.
  • The etiology in this specific case warrants further investigation within the context of pediatric gastrointestinal diseases.

Implications:

  • This case underscores the importance of considering rare gastrointestinal conditions in pediatric diagnostics.
  • Increased awareness and research into pediatric chronic gastric ulcers may improve patient outcomes.
  • Early recognition and intervention are critical for managing complex pediatric gastrointestinal emergencies.

Related Concept Videos

Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies01:28

Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies

Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
161
Peptic Ulcer Disease I: Introduction01:30

Peptic Ulcer Disease I: Introduction

Peptic Ulcer Disease (PUD) is characterized by mucosal excavation in the esophagus, stomach, pylorus, or duodenum. It can manifest as acute or chronic based on the extent and duration of mucosal involvement.
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
222
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
351
Peptic Ulcer Disease IV: Management01:26

Peptic Ulcer Disease IV: Management

Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
116
Pathophysiology of Peptic Ulcer Disease: Mucosal Defense Factors01:24

Pathophysiology of Peptic Ulcer Disease: Mucosal Defense Factors

Peptic ulcer disease, commonly called PUD, represents a multifaceted condition characterized by disruptions in the lining of the gastrointestinal (GI)  tract. Central to the protection of the gastrointestinal lining is the mucosal-bicarbonate barrier. This physiological defense mechanism is a formidable shield against the corrosive effects of gastric acid and pepsin secretion in the stomach. Its role is pivotal in maintaining the structural integrity of the stomach's inner lining.
472
Gastritis III: Clinical Manifestations and Management01:23

Gastritis III: Clinical Manifestations and Management

The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
343