Title
Silent rupture: The hidden danger of gastric perforation in paediatric blunt trauma: A case report
Authors
Ayushi Chotra1, Vishal Bharadwaj2, Deepak Goel3, Kuldeep Sukhadeve2, Priyanka Wankar2, Rajkumar Kiratkar2, Priyank Rajan4,* & Mayur Wanjari5
Affiliation
1Department of Paediatrics, Bristol Royal Hospital for Children, Bristol, United Kingdom; 2Department of Paediatrics & Neonatology, KIMS-Kingsway Hospital, Nagpur, India; 3Department of Paediatric Surgery, KIMS-Kingsway Hospital, Nagpur, India; 4Paediatric Haematology Oncology & BMT, Bristol Royal Hospital for Children, Bristol, United Kingdom; 5Department of Research, Datta Meghe Institute of Higher Education & Research (DMIHER), Sawangi, Maharashtra, India; *Corresponding author
Ayushi Chotra - E - mail: ayushio.mohan@gmail.com; Phone: +919013111121
Vishal Bharadwaj - E - mail: vishal.bharadwaj1995@gmail.com; Phone: +919321621900
Deepak Goel - E - mail: drdeepakgoel68@gmail.com; Phone: +919819523470
Kuldeep Sukhadeve - E - mail: dkrps@aol.in; Phone: +919421543880
Priyanka Wankar - E - mail: drpriyankawankar@gmail.com; Phone: +919870366771
Rajkumar Kiratkar - E - mail: rajkumarkiratkar@gmail.com; Phone: +919619220053
Priyank Rajan - E - mail: priyankrajan902@gmail.com; Phone: +91 8779670734
Mayur Wanjari - E - mail: Wanjari605@gmail.com; Phone: +918007356104
Article Type
Research Article
Date
Received October 1, 2024; Revised October 31, 2024; Accepted October 31, 2024, Published October 31, 2024
Abstract
We present herein a case with the relatively uncommon presentation of isolated gastric perforation resulting from blunt trauma of the abdomen following a fall shortly after eating in a 5-year-old girl. The child experienced severe abdominal pain, tachycardia, hypotension, and shortness of breath. A physical examination revealed epigastric tenderness and abdominal distension. Initial X-ray was non-diagnostic and a contrast-enhanced Computerised Tomography [CECT scan] demonstrated ascites and pneumoperitoneum that suggested hollow organ perforation. The emergency exploratory laparotomy revealed a 7 cm laceration on the stomach that was surgically repaired using two-layer closure. Following that, extensive peritoneal lavage occurred. In the postoperative period, the patient developed systemic inflammatory response syndrome [SIRS]. Hence, the PICU provided inotropic support and oxygen therapy. On the fourth day, she became significantly improved and on the tenth day, we made her able to go home without any complications. The important points in the management of gastric perforation in paediatric blunt abdominal trauma are early suspicion, further imagination, and timely surgical intervention.
Keywords
Paediatric, blunt abdominal trauma, gastric perforation, CT scan, surgical repair, systemic inflammatory response syndrome [SIRS], postoperative care.
Citation
Chotra et al. Bioinformation 20(10): 1313-1316 (2024)
Edited by
Hiroj Bagde MDS, (PhD), PGDCR, PGDHHM, PGDL, PGDM
ISSN
0973-2063
Publisher
License
This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.
