Ruptura gástrica idiopática en niño preescolar. Informe de un caso

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dc.contributor.authorDonoso, Alejandro
dc.contributor.authorArriagada, Daniela
dc.contributor.authorCruces, Pablo
dc.contributor.authorDiaz, Franco
dc.date.accessioned2017-05-26T14:29:37Z
dc.date.available2017-05-26T14:29:37Z
dc.date.issued2012
dc.description.abstractIdiopathic gastric rupture is rare in children. Most of them occur in newborn. The authors report the case of a 2-year-old female toddler with no significant medical records. Clinical picture began 48 h before with abdominal pain, nausea and vomiting. She was admitted to the Emergency Room in poor general condition, with abdominal distension and rebound tenderness. Laparotomy was performed immediately show-ing multiple perforations in the posterior wall of the stomach. Partial gastrectomy was performed. Afterwards, she was admitted to ICU in shock. She received mechanical ventilation, intravenous fluid administration (260 ml/kg in 12 h), vasoactive support and antibacterial therapy (cefotaxime and metronidazole). Laboratory showed leukopenia and thrombocytopenia. Etiological study was entirely negative for toxic and drug consumption. Collagen disease was ruled out and serum level of gastrin was normal. Her post operative course was characterized by persistent fever caused by left subphrenic collection (positive culture for Candida galabrata). Peritoneal lavage via laparotomy and percutaneous drainage of the residual collections were performed. She completed 3 weeks of antibacterial and antifungal therapies with adequate outcome. Her follow-up in 12 months was uneventful.
dc.format.extent5
dc.identifier.citationArchivos argentinos de pediatría 110(2):e21-4 · April 2012
dc.identifier.urihttp://hdl.handle.net/11447/1341
dc.identifier.urihttp://dx.doi.org/10.1590/S0325-00752012000200015
dc.language.isospa
dc.publisherSociedad Argentina de Pediatría
dc.subjectgastric rupture
dc.subjecttoddler
dc.subjectCandida spp.
dc.titleRuptura gástrica idiopática en niño preescolar. Informe de un caso
dc.title.alternativeIdiopathic gastric rupture in toddler. Case report
dc.typeArtículo

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