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2018, Number 2

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Acta Pediatr Mex 2018; 39 (2)

Diagnosis of gastric pneumatosis in pediatric patients. Case report series

Gil-Vargas M, Balanzar-Depraect JL, Victoria-Morales G, Miguel-Sardaneta ML, López-Santos HA, Ramírez-Servín A, Rosas-Téllez M

Language: Spanish
References: 14
Page: 179-184
PDF size: 879.45 Kb.


ABSTRACT

Gastric pneumatosis is the presence of air in the stomach wall. It is a radiological sign extremely rare in the pediatric population, caused by microscopic injuries in the gastric mucosa. We described 4 clinical cases of gastric pneumatosis in pediatric patients during January 1st, 2010 to December 31st, 2015. The 4 patients presented similarities in the symptomatology, such as vomiting, fever and abdominal pain. Cases 2 presented as a personal pathological antecedent Down syndrome, and the case 4 presented history of exploratory laparotomy caused by axial torsion of the stomach. Cases 1 and 4 underwent a second surgical intervention due to intestinal obstruction. 1 patient was a voluntary discharged.
Gastric pneumatosis is a radiological sign that lead us to suspect a gastroduodenal obstruction. Several cases of gastric pneumatosis have been found in patients with Down syndrome.


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