PEPTIC ULCER PERFORATION IN A CHILD

Introduction: peptic ulcer perforation in children is a rare entity. Very few cases have been reported. A case of peptic ulcer perforation in a 2-year-old child treated successfully is being reported. Case Presentation: A 2-year old, Indian Hindu male child presented with pain abdomen, vomiting and absolute constipation. There was no past history suggestive of peptic ulcer disease in the patient or the family. Child was irritable & dehydrated with clinical features of peritonitis. X-ray abdomen erect posture showed bilateral gas under diaphragm. He underwent exploratory laparotomy; a perforation found in the first part of duodenum and was repaired with live omental patch. The post-operative period was uneventful. Conclusion: The case presented, highlights an uncommon entity that is often not thought of. High level of suspicion will lead to early diagnosis & surgical intervention which will in turn reduce mortality.