A Rare Case of Life-threatening Sudden-onset Spontaneous Gastric Perforation in a 13-Year-Old Boy

Kwak, Haewon; Kim, Ji Yong; Hwang, Eun Ha; Lee, Yeoun Joo; Kim, Soo-Hong; Hwang, Jae-Yeon; Park, Jae Hong

J Korean Soc Emerg Med > Volume 27(6); 2016 > Article

Case Report

Journal of The Korean Society of Emergency Medicine 2016;27(6): 633-637.

A Rare Case of Life-threatening Sudden-onset Spontaneous Gastric Perforation in a 13-Year-Old Boy

Haewon Kwak¹, Ji Yong Kim¹, Eun Ha Hwang¹, Yeoun Joo Lee¹, Soo-Hong Kim², Jae-Yeon Hwang³, Jae Hong Park¹

¹Department of Pediatrics, Pusan National University Children’s Hospital, Yangsan, Korea
²Department of Surgery, Pusan National University Children’s Hospital, Yangsan, Korea
³Department of Radiology, Pusan National University Children’s Hospital, Yangsan, Korea

Correspondence

Yeoun Joo Lee ,Tel: 055-360-2180, Fax: 055-360-2181, Email: moonmissing@gmail.com,

Received: June 28, 2016; Revised: June 30, 2016 Accepted: August 25, 2016. Published online: December 31, 2016.

ABSTRACT

Spontaneous gastric perforation in a healthy child is extremely rare; however, its outcome can be life-threatening. Gastric perforation may be caused by inflammation, mechanical injury, ingestion, and vascular compromise. We report a rare case of gastric perforation with unfavorable results in a 13-year-old, previously healthy, boy. We conclude that acute gastric volvulus is a possible cause of gastric perforation in this case.

Key words: Intestinal perforation, Stomach volvulus, Child