Ruptura gástrica idiopática en niño preescolar. Informe de un caso

Alejandro Donoso Fuentes, Daniela Arriagada Santis, Pablo Cruces Romero, Franco Díaz Rubio

Resultado de la investigación: Contribución a una revistaArtículorevisión exhaustiva

Resumen

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 showing 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 fluid 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.

Título traducido de la contribuciónIdiopathic gastric rupture in toddler. Case report
Idioma originalEspañol
Páginas (desde-hasta)e21-e24
PublicaciónArchivos Argentinos de Pediatria
Volumen110
N.º2
DOI
EstadoPublicada - mar 2012

Palabras clave

  • Candida spp.
  • Gastric rupture
  • Toddler

Áreas temáticas de ASJC Scopus

  • Pediatría, perinaltología y salud infantil

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