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