Abstract
In pediatric age group peptic ulcer disease and duodenal perforation are usually rare condition. We report here a case of 3 years old girl who presented with upper abdominal pain, fever. On examination, she was febrile, tachycardia, with the feature of peritonitis. X-ray Abdomen reveled pneumoperitoneum. After resuscitation and investigating the child, a provisional diagnosis of peritonitis due to hollow viscus perforation was made. The child was planned for laparotomy. Intraoperative diagnosis of first portion of duodenum perforation was made and she underwent repair of perforation.
Highlights
We report here a case of 3 years old girl who presented with upper abdominal pain, fever
Rare cause of life-threatening abdominal pain in children is Peptic ulcer disease (PUD), which may be complicated by severe hemorrhage or perforation
Exact etiology and pathology is not known but it have been reported that the incidence is 1.55 cases per year in the Indian population.[5]
Summary
Rai Binod Kumar,[1] Alam MD Shahid1*, Sah Chandrika[1], Yadav Aditya Prakash1 1Department of Surgery, National Medical College Teaching Hospital Birgunj, Nepal. Date of Submission: March 09, 2020 Received in Revised Form: April 05, 2020 Date of Acceptance: April 24, 2020 Date of Publishing: July 30, 2020
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