IDIOPATHIC SPONTANEOUS POSTERIOR GASTRIC PERFORATION IN A PRESCHOOL CHILD-A RARITY

A three year old female presented in casualty with history of abdominal pain, vomiting abdominal distension and dyspnoea. The patient was in shock and there was abdominal guarding all over. History was of a very short duration. Abdominal X- ray showed massive gas under diaphragm. Patient was explored which revealed a posterior large gastric perforation. The rest of organs showed no obvious abnormality. The biopsy was inconclusive, serum gastrin was normal with no hematological abnormality. The post operative period was uneventful