Perforation of Duodenal Ulcer and Rupture of Stomach

Abstract

According to the reported cases, perforation of a peptic ulcer and rupture of the stomach are rare entities in infancy, inasmuch as only 30 such cases have been reported up until the end of 1954. 1 Peptic ulceration in infants and children, including perforation, was reviewed by Holt in 1913. Bird, Limper, and Mayer reported 2 33 cases of perforation in a total of 245 cases of peptic ulcer in infants and children from 17 days to 15 years of age. Other summaries are those of Guthrie, 3 Hollander and Stark, 4 McAleese and Sieber, 5 and Hutchins. 6 The earliest perforated peptic ulcer in infancy to be treated surgically with recovery was that in a 34½-hour-old baby reported by Bird and co-workers. 2 Lee and Wells described 9 a perforation of an ulcer in utero and numerous authors have reported perforations of duodenal ulcers in infants in the first