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2012, Number 1

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Acta Pediatr Mex 2012; 33 (1)

Spontaneous duodenal perforation in infants

Baeza-Herrera C, Barrera-Muñoz CE, Martínez-Leo BA, Alarcón-Quezada V, Portugal-Moreno VH

Language: Spanish
References: 10
Page: 5-8
PDF size: 284.81 Kb.


ABSTRACT

Introduction. Duodenal perforation is a rare life-threatening disease associated with non-accidental blunt abdominal trauma, duodenal ulcer or ingestion of steroids, acetil salicylic acid, indometacine and tolazoline, spontaneous perforation is an extremely uncommon event. A late diagnostic is the rule, since symptoms and signs may be minimal.
Report of the cases. We report three cases, seen in a two weeks period, all with typical features of spontaneous duodenal perforation. Two patients had perforation of the second portion of the duodenum; a successful primary surgical repair was performed. The other patient had a perforation of the first portion of the duodenum. A pyloric exclusion was performed which had a fatal outcome.
Conclusions. This is a very unusual and dangerous condition.


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