Perforated Duodenal Ulcer in a Young Child: An Uncommon Condition

  • Rohit Prasad Yadav Department of Surgery, BP Koirala Institute of Health Sciences, Dharan, Sunsari
  • C S Agrawal Department of Surgery, BP Koirala Institute of Health Sciences, Dharan, Sunsari
  • R K Gupta Department of Surgery, BP Koirala Institute of Health Sciences, Dharan, Sunsari
  • S Rajbansi Department of Surgery, BP Koirala Institute of Health Sciences, Dharan, Sunsari
  • A Bajracharya Department of Surgery, BP Koirala Institute of Health Sciences, Dharan, Sunsari
  • S Adhikary Department of Surgery, BP Koirala Institute of Health Sciences, Dharan, Sunsari

Abstract

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

Published
2009-04-01
How to Cite
Yadav, R., Agrawal, C., Gupta, R., Rajbansi, S., Bajracharya, A., & Adhikary, S. (2009). Perforated Duodenal Ulcer in a Young Child: An Uncommon Condition. Journal of Nepal Medical Association, 48(174), 165-7. https://doi.org/10.31729/jnma.237
Section
Case Reports