Hattingh Genevieve, Salas-Parra Ruben D, Nuzhad Afrin, Salvador Joselyn, Farkas Daniel T
Department of Surgery, Bronxcare Health System, Bronx, NY, USA.
St. George's University School of Medicine, St. George, Grenada.
J Surg Case Rep. 2020 Nov 28;2020(11):rjaa455. doi: 10.1093/jscr/rjaa455. eCollection 2020 Nov.
Duodenal ulcer perforation is very uncommon in the pediatric population; hence, it is usually not considered in the differential diagnosis of acute abdomen in this age group. In our small community hospital, we had two rare cases of perforated peptic ulcer in the pediatric population within a short span of time. A 14-year-old male and a 13-year-old female child presented to the emergency room with acute abdominal pain. No other symptoms were reported and neither had any history of peptic ulcer disease. Abdominal CT showed pneumoperitoneum consistent with perforated hollow viscus. Subsequent exploratory laparotomy indicated perforated duodenal ulcer in both children. These cases illustrate that perforated peptic ulcers should be considered in children presenting with acute abdomen.
十二指肠溃疡穿孔在儿科人群中非常罕见；因此，在该年龄组急性腹痛的鉴别诊断中通常不会考虑到这种情况。在我们的小型社区医院，在短时间内就有两例儿科人群中罕见的消化性溃疡穿孔病例。一名14岁男性和一名13岁女性儿童因急性腹痛被送往急诊室。未报告其他症状，两人均无消化性溃疡病史。腹部CT显示气腹，符合中空脏器穿孔。随后的剖腹探查表明两名儿童均为十二指肠溃疡穿孔。这些病例说明，对于出现急性腹痛的儿童应考虑消化性溃疡穿孔。
