| [Idiopathic gastric rupture in toddler: case report]. | |
| | |
MedLine Citation:
|
PMID: 22451295 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
Idiopathic gastric rupture is rare in children. Most of them occur in newborn. The authors report the case of a 2-year-old female toddler with no significant medical records. Clinical picture began 48 h before with abdominal pain, nausea and vomiting. She was admitted to the Emergency Room in poor general condition, with abdominal distension and rebound tenderness. Laparotomy was performed immediately show-ing multiple perforations in the posterior wall of the stomach. Partial gastrectomy was performed. Afterwards, she was admitted to ICU in shock. She received mechanical ventilation, intravenous fuid administration (260 ml/kg in 12 h), vasoactive support and antibacterial therapy (cefotaxime and metronidazole). Laboratory showed leukopenia and thrombocytopenia. Etiological study was entirely negative for toxic and drug consumption. Collagen disease was ruled out and serum level of gastrin was normal. Her post operative course was characterized by persistent fever caused by left subphrenic collection (positive culture for Candida galabrata). Peritoneal lavage via laparotomy and percutaneous drainage of the residual collections were performed. She completed 3 weeks of antibacterial and antifungal therapies with adequate outcome. Her follow-up in 12 months was uneventful. |
| | |
Authors:
|
Alejandro Donoso Fuentes; Daniela Arriagada Santis; Pablo Cruces Romero; Franco Díaz Rubio |
Publication Detail:
|
Type: English Abstract; Journal Article |
Journal Detail:
|
Title: Archivos argentinos de pediatría Volume: 110 ISSN: 1668-3501 ISO Abbreviation: Arch Argent Pediatr Publication Date: 2012 Apr |
Date Detail:
|
Created Date: 2012-03-27 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0372460 Medline TA: Arch Argent Pediatr Country: Argentina |
Other Details:
|
Languages: spa Pagination: e21-4 Citation Subset: IM |
Affiliation:
|
Área de Cuidados Críticos, Unidad de Gestión Clínica del Niño, Hospital Padre Hurtado, Santiago, Chile. |
Vernacular Title:
|
Ruptura gástrica idiopática en niño preescolar: informe de un caso. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: [Childhood cutaneous granular cell tumor: Case report].
Next Document: [Cystic lymphatic malformation of the pancreas in a 13-month-old child].