COMPLEXITATEA DURERILOR ABDOMINALE ÎN POPULAȚIA PEDIATRICĂ ULCERUL GASTRIC ȘI PROVOCĂRILE ACESTUIA, PREZENTARE DE CAZ

Abstract

Peptic ulcer disease is not so prevalent in the pediatric population; only 5 in 2500 admission in a year are due to this pathology. We are presenting the case of a 6 year old boy that was transferred in our department with the diagnostic of acute abdomen not related with surgical problems. At admission the child was malnourished, serious dental problems, with diffuse abdominal pain hematemesis and melena. Initial lab exams were normal but on the second day of admission reveal normochromic, microcytic anemia and negative and H. pylori antigen stool test came negative. The upper endoscopy showed gastric angiodysplasia and signs of peptic ulcer. The treatment was according to international protocols and the evolution of the patient was favorable. Even though peptic ulcer disease and gastric angiodyslasia are rarely encountered in the pediatric population, we must include them in the differential diagnosis of acute abdominal syndrome especially when there is an important psychological component.