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Background <p>Acute gastric perforations beyond the neonatal age are very rare and are associated with a significant morbidity and a high mortality rate. The presence of a left sided eventration of diaphragm may act as a contributory factor leading to volvulus and subsequent ischemic necrosis.</p> Case summary <p>We present an 11-month-old child with an isolated acute gastric perforation and eventration of left hemi-diaphragm with no other significant medical history.</p> Conclusion <p>Acute gastric perforation in infants with eventration of left diaphragm carries a high mortality rate and should be suspected in infants with recurrent non bilious vomiting and abdominal distention.</p>

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Case report: isolated acute gastric perforation with lesser sac pneumoperitoneum in an infant associated with eventration of diaphragm

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  • 发表日期：

    2025年8月18日

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  • Zubair Khurshid,
  • Osama Ibrahim Alquaymi,
  • Tarek Talaat Harb Elkadi,
  • Abdulaziz Abdullah Alabdulsalam

摘要

Background

Acute gastric perforations beyond the neonatal age are very rare and are associated with a significant morbidity and a high mortality rate. The presence of a left sided eventration of diaphragm may act as a contributory factor leading to volvulus and subsequent ischemic necrosis.

Case summary

We present an 11-month-old child with an isolated acute gastric perforation and eventration of left hemi-diaphragm with no other significant medical history.

Conclusion

Acute gastric perforation in infants with eventration of left diaphragm carries a high mortality rate and should be suspected in infants with recurrent non bilious vomiting and abdominal distention.