Gastric Necrosis and Perforation Following Massive Gastric Dilatation in an Adolescent Girl: A Rare Cause of Acute Abdomen

被引:9
作者
Zvizdic, Zlatan [1 ]
Jonuzi, Asmir [1 ]
Djuran, Aleksandra [2 ]
Vranic, Semir [3 ]
机构
[1] Univ Clin Ctr Sarajevo, Clin Pediat Surg, Sarajevo, Bosnia & Herceg
[2] Univ Clin Ctr Sarajevo, Dept Pathol, Sarajevo, Bosnia & Herceg
[3] Qatar Univ, Coll Med, Doha, Qatar
关键词
gastric dilatation; necrosis; gastric perforation; pathological aerophagia; acute abdomen; CHILDHOOD AEROPHAGIA; INTERPOSITION; RUPTURE;
D O I
10.3389/fsurg.2019.00003
中图分类号
R61 [外科手术学];
学科分类号
摘要
Gastric necrosis with perforation is a rare and potentially life-threatening condition in childhood beyond the neonatal period. We report a case of gastric necrosis and perforation of a portion of the great curvature due to a massive gastric dilatation caused by pathological aerophagia in a 13-years-old, mentally impaired adolescent girl. Despite the successful surgical treatment, the patient's condition rapidly deteriorated post-operatively and she died due to the multisystem organ failure and multiple infections. In addition, we surveyed the literature on this rare condition and assessed the preventive actions to reduce this life-treating condition.
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