Title of article :
Gastroduodenal Perforation in a Child With Sickle Cell Anemia: A Case Report
Author/Authors :
Mehrabani ، Sanaz Non-Communicable Pediatric Diseases Research Center, Health Research Institute - Babol University of Medical Sciences , Mahmoodi Nesheli ، Hassnan Non-Communicable Pediatric Diseases Research Center, Health Research Institute - Babol University of Medical Sciences , Hadipur ، Abbas Non-Communicable Pediatric Diseases Research Center, Health Research Institute - Babol University of Medical Sciences , Moslemi ، Leila Health Reproductive Research Center - Islamic Azad University, Sari Branch
From page :
105
To page :
107
Abstract :
Objectives: Gastroduodenal perforation (GDP) is a rare cause of acute abdominal pain in children. Case Presentation: A 12-year-old boy presented with abdominal pain around the periumbilical and epigastric region on 7previous days. His familial history was significant for sickle cell anemia in the mother and minor thalassemia in the father. He had been diagnosed with sickle cell anemia at the age of 4 years and had received blood transfusion and hydroxyurea every month. At physical examination, a distended abdomen and decreased intestinal sounds were seen. Also, he had a history of cholecystectomy (for cholelithiasis). Fecal occult blood was detected, while no Helicobacter pylori antigen was present. Abdominal ultrasound examination revealed splenomegaly and evidence of free fluid. Surgical results showed bile discharge in the abdominal cavity, and perforation of duodenum and pylorus. Conclusions: Since the symptoms of GDP in children are non-specific, especially in children with sickle cell anemia, it should be considered in these patients with abdominal pain.
Keywords :
Peptic ulcer , Anemia , Sickle cell , Child
Journal title :
Crescent Journal of Medical and Biological Sciences
Journal title :
Crescent Journal of Medical and Biological Sciences
Record number :
2779531
Link To Document :
بازگشت