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新生儿十二指肠溃疡穿孔后腹膜炎:一例报告

Peritonitis Following Duodenal Ulcer Perforation in a Newborn: A Case Report.

作者信息

Amouei Abdolhamid, Ehsani Fatemeh, Zarch Mojtaba Babaei, Tabatabaei Seyed Mostafa, Ghodratipour Zahra

机构信息

Assistant Professor, Department of Surgery, Shahid Sadoughi Hospital, Shahid Sadoughi University of Medical Sciences , Yazd, Iran .

Resident, Department of Surgery, Shahid Sadoughi Hospital, Shahid Sadoughi University of Medical Sciences , Yazd, Iran .

出版信息

J Clin Diagn Res. 2016 Nov;10(11):PD10-PD11. doi: 10.7860/JCDR/2016/22458.8821. Epub 2016 Nov 1.

Abstract

Duodenal ulcer is an uncommon condition in children, that is why it is not usually considered as the differential diagnosis unless it presents with complications including perforation and haemorrhage. Moreover, duodenal ulcer perforation is an uncommon entity in paediatric age group. Early diagnosis and treatment is crucial in order to improve survival. A three-day-old male neonate was admitted to our hospital because of abdominal distension. The neonate was lethargic. He underwent laparotomy. There was a perforated ulcer, 5×5mm in size, on the anterior aspect of the first part of the duodenum. The perforated ulcer was closed with a single layer. Six-month follow-up revealed no abnormality.

摘要

十二指肠溃疡在儿童中并不常见,这就是为什么除非出现包括穿孔和出血在内的并发症,否则通常不将其视为鉴别诊断。此外,十二指肠溃疡穿孔在儿童年龄组中是一种罕见的情况。早期诊断和治疗对于提高生存率至关重要。一名3日龄男婴因腹胀入院。该男婴嗜睡。他接受了剖腹手术。在十二指肠第一部的前壁有一个5×5毫米大小的穿孔性溃疡。穿孔性溃疡用单层缝合关闭。六个月的随访显示无异常。

相似文献

1
Peritonitis Following Duodenal Ulcer Perforation in a Newborn: A Case Report.新生儿十二指肠溃疡穿孔后腹膜炎:一例报告
J Clin Diagn Res. 2016 Nov;10(11):PD10-PD11. doi: 10.7860/JCDR/2016/22458.8821. Epub 2016 Nov 1.

本文引用的文献

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Spontaneous intestinal perforation in neonates.新生儿自发性肠穿孔
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J Pediatr Surg. 1981 Dec;16(6):998-1002. doi: 10.1016/s0022-3468(81)80864-0.
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Neonatal duodenal perforation.新生儿十二指肠穿孔
J Pediatr Gastroenterol Nutr. 1990 Oct;11(3):407-10. doi: 10.1097/00005176-199010000-00022.

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