PDF(Pubmed)
Abstract：
Pediatric spontaneous gastric perforation is a rarely encountered condition with poorly understood causal mechanisms. We present a novel case of a two-month-old female infant from Nepal who previously experienced Croup and subsequently developed severe abdominal distention and vomiting. Abdominal X-ray findings confirmed pneumoperitoneum, prompting immediate laparotomy. Intraoperative examination revealed a substantial perforation along the posterior stomach wall, specifically along the lesser curvature. The surgical intervention involved gastrorrhaphy and omentopexy using 3-0 Vicryl sutures, leading to an uneventful postoperative recovery. This case report highlights the critical importance of early and efficient management of spontaneous gastric perforations in infants, emphasizing the need for timely intervention to achieve favorable outcomes. Pediatric spontaneous gastric perforation remains a rare condition, and reporting such cases contributes to our understanding and management of this unusual pathology.
摘要：
小儿自发性胃穿孔是一种罕见的疾病，其病因机制知之甚少。我们介绍了一个来自尼泊尔的两个月大的女婴的新病例，该女婴以前曾经历过Croup，随后出现严重的腹胀和呕吐。腹部X线检查结果证实气腹，促使立即剖腹手术。术中检查发现胃后壁有大量穿孔，特别是沿着较小的曲率。手术干预涉及使用3-0Vicryl缝线进行的胃吻合和网膜固定术，导致术后恢复顺利。该病例报告强调了早期有效治疗婴儿自发性胃穿孔的重要性。强调需要及时干预以取得有利的结果。小儿自发性胃穿孔仍然是一种罕见的疾病，报告此类病例有助于我们理解和管理这种异常病理。
