Perforated Duodenal Ulcer in a Young Child: An Uncommon Condition
Duodenal ulcer is an uncommonly diagnosed entity in children. H. pyloriinfection, blood group ‘O’
or secondary to medications like non steroidal anti-infl ammatory drugs (NSAID) and corticosteroids
or physiological stress in burns, head injury and mucosal ischemia are implicated as risk factors for
their causation. The diagnosis is usually overlooked because of vague and variable symptoms and
remote index of suspicion accounted for their low incidence in children. Undiagnosed or mistreated
perforations may carry high morbidity and mortality. We report a successfully treated 41/2 year old
male child who presented with features of perforation peritonitis and was incidentally found to have
a perforated duodenal ulcer.
Key Words: duodenal ulcer, laparotomy, perforation
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