Perforated Duodenal Ulcer in a Young Nepalese Girl: An Infrequent Diagnosis for Age

Perforated duodenal ulcer (PDU) is exceedingly uncommon in children. In a child with acute abdomen and pneumoperitoneum, an appendiceal etiology is more often suspected as a likely cause. Failure or delay to diagnose a PDU can result in significant morbidity and even mortality. We report a case of a...

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Autores principales:	Ashish Lal Shrestha, Anusha Shrestha
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/ab78f82deed845bc9779d5e8d3c5a036
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spelling	oai:doaj.org-article:ab78f82deed845bc9779d5e8d3c5a0362021-11-29T00:56:26ZPerforated Duodenal Ulcer in a Young Nepalese Girl: An Infrequent Diagnosis for Age2090-681110.1155/2021/6304309https://doaj.org/article/ab78f82deed845bc9779d5e8d3c5a0362021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/6304309https://doaj.org/toc/2090-6811Perforated duodenal ulcer (PDU) is exceedingly uncommon in children. In a child with acute abdomen and pneumoperitoneum, an appendiceal etiology is more often suspected as a likely cause. Failure or delay to diagnose a PDU can result in significant morbidity and even mortality. We report a case of acute abdomen in a girl with PDU with a successful outcome. A 12-year-old school girl presented to emergency room (ER) with acute generalized abdominal pain for 2 days. Clinical examination revealed florid peritonitis, and abdominal radiographs showed free peritoneal air. At emergency laparotomy, PDU was noted with general peritoneal contamination. Omental patch repair and continued supportive care resulted in gradual improvement. PDU is an uncommon cause of peritonitis in children and poses significant challenges in management. Strong suspicion and prompt appropriate intervention is necessary to avoid untoward outcomes.Ashish Lal ShresthaAnusha ShresthaHindawi LimitedarticlePediatricsRJ1-570ENCase Reports in Pediatrics, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Pediatrics RJ1-570
spellingShingle	Pediatrics RJ1-570 Ashish Lal Shrestha Anusha Shrestha Perforated Duodenal Ulcer in a Young Nepalese Girl: An Infrequent Diagnosis for Age
description	Perforated duodenal ulcer (PDU) is exceedingly uncommon in children. In a child with acute abdomen and pneumoperitoneum, an appendiceal etiology is more often suspected as a likely cause. Failure or delay to diagnose a PDU can result in significant morbidity and even mortality. We report a case of acute abdomen in a girl with PDU with a successful outcome. A 12-year-old school girl presented to emergency room (ER) with acute generalized abdominal pain for 2 days. Clinical examination revealed florid peritonitis, and abdominal radiographs showed free peritoneal air. At emergency laparotomy, PDU was noted with general peritoneal contamination. Omental patch repair and continued supportive care resulted in gradual improvement. PDU is an uncommon cause of peritonitis in children and poses significant challenges in management. Strong suspicion and prompt appropriate intervention is necessary to avoid untoward outcomes.
format	article
author	Ashish Lal Shrestha Anusha Shrestha
author_facet	Ashish Lal Shrestha Anusha Shrestha
author_sort	Ashish Lal Shrestha
title	Perforated Duodenal Ulcer in a Young Nepalese Girl: An Infrequent Diagnosis for Age
title_short	Perforated Duodenal Ulcer in a Young Nepalese Girl: An Infrequent Diagnosis for Age
title_full	Perforated Duodenal Ulcer in a Young Nepalese Girl: An Infrequent Diagnosis for Age
title_fullStr	Perforated Duodenal Ulcer in a Young Nepalese Girl: An Infrequent Diagnosis for Age
title_full_unstemmed	Perforated Duodenal Ulcer in a Young Nepalese Girl: An Infrequent Diagnosis for Age
title_sort	perforated duodenal ulcer in a young nepalese girl: an infrequent diagnosis for age
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/ab78f82deed845bc9779d5e8d3c5a036
work_keys_str_mv	AT ashishlalshrestha perforatedduodenalulcerinayoungnepalesegirlaninfrequentdiagnosisforage AT anushashrestha perforatedduodenalulcerinayoungnepalesegirlaninfrequentdiagnosisforage
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Perforated Duodenal Ulcer in a Young Nepalese Girl: An Infrequent Diagnosis for Age

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