ISSN - 0973-0958

Pediatric Oncall Journal View Article

Spontaneous Pre-pyloric Perforation in Children
Kaushal Kulkarni, Charu Tiwari, Nilesh Nagdeve, Rajendra Saoji.
Department of Pediatric Surgery, Government Medical College and Hospital, Nagpur, Maharashtra, India.
Background: Gastro-intestinal (GI) perforation is less common in pediatric age-group. Spontaneous pre-pyloric/gastric perforation is rarer. We present 7 cases of spontaneous pre-pyloric perforation.
Materials and Methods: All patients under 18 years of age operated for spontaneous pre-pyloric perforation were included in the study and were analyzed with respect to age at presentation, gender, clinical presentation, management, post-operative recovery, and follow-up. All patients were admitted, and detailed history and vitals were recorded. After confirming the diagnosis on erect X-ray abdomen, they were either taken for exploratory laparotomy if stable or initial external peritoneal drainage followed by exploration in unstable patients.
Results: There were total seven patients with spontaneous pre-pyloric perforation. The mean age at presentation was 4.5 years. There were 5 males and 2 females. The mean duration of symptoms was 3 days. There were three neonates-two were pre-term and low birth weight and underwent initial peritoneal drainage followed by exploration after stabilization. The third neonate was full-term, adequate for gestational age and had associated Tetralogy of Fallot. There were two pre-school children, one school-going child, and an adolescent. At exploration, all had a pre-pyloric perforation which was primarily repaired with omental patch. All patients except one neonate were discharged by 7-10 days. One neonate died within a month of discharge from the hospital.
Conclusion: Though rare, spontaneous pre-pyloric perforation in a pediatric age group may carry high morbidity and mortality. Exploration after stabilization remains the treatment of choice.

Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License
Disclaimer: The information given by is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0