Abstract
Kusma, çocukluk çağında sık görülen bir belirtidir. Gastrointestinal sistem hastalıkları gibi sistemik hastalıklarda görülen kusmanın birçok etiyolojik nedeni vardır. İnfantta mide çıkış obstrüksiyonu (MÇO) doğuştan ya da kazanılmış nedenler sonucu gelişebilir. Kazanılmış MÇO infantta nadir olup, peptik hastalık, neoplazm ve kostik alımı sonucu gelişmektedir. MÇO korozif alınıma bağlı gelişen bir komplikasyon ve kusma nedenidir.Karın ağrısı, kusma ve kilo kaybı sebebiyle başvuran 2 yaşında erkek bir olguyu sunuyoruz. Olgunun 3 hafta önce korozif madde içme öyküsü vardı. Hastaneye yatışında kilo kaybına bağlı genel durum bozukluğu dışında fizik muayenesi normaldi. Baryumlu incelemeler de özofagus normal, mide geniş ve mide çıkışı tam kapalı idi. Olgunun değerlendirmesinde tam pilorik tıkanıklık tespit edilerek gastrojejunal anastomoz operasyonu yapıldı.Sonuç olarak, infantta kusmanın bir nedeni olarak korozif alımına bağlı MÇO’nun akılda tutulmasını öneriyoruz. Korozif alım öyküsü olması bu olgularda önemli bir ipucu olabilir.
Keywords
References
- Wyllie R. Clinical manifestations of gastrointestinal disease. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF (eds). Nelson Textbook of Pediatrics. 18th ed. Philadelphia: WB Saunders, 2004:1521-9.
- Feng J, Gu W, Li M, Yuan J, Weng Y, Wei M, et al. Rare causes of gastric outlet obstruction in children. Pediatr Surg Int 2005;21:635- 40.
- Dolgun G. Corrosive injuries in children: Review. Turkiye Klinikleri J Pediatr 2009; 18:297-304.
- Özokutan BH, Ceylan H, Ertaşkın İ. Pediatric gastric outlet obstruction following corrosive ingestion. Pediatr Surg Int 2010;26:615-18.
- Tekant G, Eroğlu E, Erdoğan E, Yeşildağ E, Emir H, Büyükünal C, et al. Corrosive injury-induced gastric outlet obstruction: a changing spectrum of agents and treatment. J Ped Surg 2001;36:1004–7.
- Sharma S, Debnath PR, Agrawal LD, Gupta V. Gastric outlet obstruction without esophageal involvement: A late sequelae of acid ingestion in children. J Indian Assoc Pediatr Surg 2007; 12:47-9.
- Ciftci AO, Şenocak ME, Büyükpamukcu, Hiçsönmez A. Gastric outlet obstruction due to corrosive ingestion: Incidence and outcome. Pediatr Surg Int 1999;15:88–91.
- Erdoğan E, Eroğlu E, Tekant G, Yeker Y, Emir H, Sarimurat N, et al. Management of esophagogastric corrosive injuries in children. Eur J Pediatr Surg 2003;13:289-93.
Complete Gastric Outlet Obstruction Due to Corrosive Ingestion in an Infant: A Rare Cause of Vomiting
Abstract
Vomiting is common symptom in childhood. There are many causes and it can also be seen in systemic pathologies such as gastrointestinal system disorders. Gastric outlet obstruction (GOO) in infancy may result from congenital or acquired causes. Acquired GOO in infancy is a rare condition. The acquired causes of GOO in infants are acid peptic disease, neoplasm and caustic ingestion. GOO is a well-known complication of corrosive ingestion and is a cause of vomiting. We report a male patient who was evaluated first at the age of two years because of abdominal pain, vomiting and weight loss. There was a history accidental ingestion of corrosive substance 3 weeks previously. On admission, his physical examination was normal except the poor general status caused by weight loss. Barium study findings showed a normal esophagus and complete obstruction at the gastric outlet with a dilated stomach. The evaluation revealed complete pyloric obstruction, and gastrojejunal anastomosis was performed. In conclusion, we suggest that GOO due to corrosive ingestion should be considered as a cause of vomiting in infancy. Corrosive ingestion history may be an important clue for these cases
Keywords
References
- Wyllie R. Clinical manifestations of gastrointestinal disease. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF (eds). Nelson Textbook of Pediatrics. 18th ed. Philadelphia: WB Saunders, 2004:1521-9.
- Feng J, Gu W, Li M, Yuan J, Weng Y, Wei M, et al. Rare causes of gastric outlet obstruction in children. Pediatr Surg Int 2005;21:635- 40.
- Dolgun G. Corrosive injuries in children: Review. Turkiye Klinikleri J Pediatr 2009; 18:297-304.
- Özokutan BH, Ceylan H, Ertaşkın İ. Pediatric gastric outlet obstruction following corrosive ingestion. Pediatr Surg Int 2010;26:615-18.
- Tekant G, Eroğlu E, Erdoğan E, Yeşildağ E, Emir H, Büyükünal C, et al. Corrosive injury-induced gastric outlet obstruction: a changing spectrum of agents and treatment. J Ped Surg 2001;36:1004–7.
- Sharma S, Debnath PR, Agrawal LD, Gupta V. Gastric outlet obstruction without esophageal involvement: A late sequelae of acid ingestion in children. J Indian Assoc Pediatr Surg 2007; 12:47-9.
- Ciftci AO, Şenocak ME, Büyükpamukcu, Hiçsönmez A. Gastric outlet obstruction due to corrosive ingestion: Incidence and outcome. Pediatr Surg Int 1999;15:88–91.
- Erdoğan E, Eroğlu E, Tekant G, Yeker Y, Emir H, Sarimurat N, et al. Management of esophagogastric corrosive injuries in children. Eur J Pediatr Surg 2003;13:289-93.
Details
| Other ID | JA33EG89AS |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | June 1, 2013 |
| Submission Date | June 1, 2013 |
| Published in Issue | Year 2013 Volume: 7 Issue: 1,EK |
The publication language of Turkish Journal of Pediatric Disease is English.
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