Diagnostic Difficulties of Spontaneous Gastric Peforation in Adolescents

Zeliha Akış YILDIZ; Ceyhan ŞAHİN; Mehmet ARPACIK; Hayriye Nihan AYYILDIZ; Aytekin KAYMAKÇI

Makale detayları

Diagnostic Difficulties of Spontaneous Gastric Peforation in Adolescents

Yazarlar:

Zeliha Akış YILDIZ | Ceyhan ŞAHİN | Mehmet ARPACIK | Hayriye Nihan AYYILDIZ | Aytekin KAYMAKÇI

Yayıncı:

Acil Tıp Uzmanları Derneği

Ana Başlıklar:

Hastalıklar

Dergi:

Eurasian Journal of Critical Care 2019 Vol.1 Issue 1, pp.7-10

Belge Tipi:

Makale

Yayın Tarihi:

4/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000422159

eISSN:

2667-8721

Özet:

 


Objective:
Spontaneous gastric
perforation (SGP) in adolescents is very rare. This study aims to evaluate the
diagnostic difficulties and misdiagnoses associated with SGP.


Methods: The medical records of patients that
underwent surgery for a gastric perforation over the past 2 years at our paediatric
surgery clinic were evaluated retrospectively. Patient demographics, symptoms,
diagnostic evaluation, diagnostic difficulties, operative findings, and post operative
clinical course were evaluated.


Results: Seven patients were identified as
having SGP. All of the patients were adolescents. Only 1 patient had a history
of gastritis; the other 6 patients did not have a history of any disease,
surgery or trauma. Radiological evidence of pneumoperitoneum using upright radiography
was only found in 1 patient (16.6%). One patient was misdiagnosed and thought to
have appendicitis. In 2 patients, the diagnosis was unclear, so diagnostic laparoscopy
was performed.


Conclusion:
SGP can be seen in
adolescents. However, sometimes it is difficult to diagnose. Even if all the
imaging studies and laboratory tests are normal, if there is a sign of
peritonitis upon physical examination, diagnostic laparoscopy could be
performed.


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Makale detayları

Diagnostic Difficulties of Spontaneous Gastric Peforation in Adolescents

Yazarlar: Zeliha Akış YILDIZ | Ceyhan ŞAHİN | Mehmet ARPACIK | Hayriye Nihan AYYILDIZ | Aytekin KAYMAKÇI

Yayıncı: Acil Tıp Uzmanları Derneği

Ana Başlıklar: Hastalıklar

Dergi: Eurasian Journal of Critical Care 2019 Vol.1 Issue 1, pp.7-10

Belge Tipi: Makale

Yayın Tarihi: 4/2019

Belge Dili: İngilizce

Document ID (Org No.): 2000422159

eISSN: 2667-8721

Sayı

Yazarlar:

Zeliha Akış YILDIZ | Ceyhan ŞAHİN | Mehmet ARPACIK | Hayriye Nihan AYYILDIZ | Aytekin KAYMAKÇI

Yayıncı:

Acil Tıp Uzmanları Derneği

Ana Başlıklar:

Hastalıklar

Dergi:

Eurasian Journal of Critical Care 2019 Vol.1 Issue 1, pp.7-10

Belge Tipi:

Makale

Yayın Tarihi:

4/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000422159

eISSN:

2667-8721