A Rare Case of Gastrointestinal Barotrauma in Pediatric Age: A Case Report

Carrasco Ortega CE1, Bueno Bueno MA1, Mezquite Reynoso CL1, Ramírez Verdugo E1, Carrasco OF2, Juarez Olguin H2,3* and Punzo Soto M3

1Pediatric Hospital Coyoacan, Mexico
2Department of Pharmacology, National Autonomous University of Mexico, Mexico
3Laboratory of Pharmacology, National Institute of Pediatrics, Mexico

^*Correspondance to: Hugo Juárez Olguín 

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Abstract:

Gastric perforation by barotrauma is a rare entity in children. Its diagnosis is based on clinical symptoms; however, adequate anamnesis and imaging studies are required to reach definitive diagnosis. A four-year old preschool female patient was admitted at our hospital because of pain, progressive abdominal distension, and hematemesis in 6 occasions. Gastrointestinal barotrauma was diagnosed based on clinical data, imaging study and abdominal radiograph. The patient was subjected to asepsis and antiseptic procedure. Subsequently, an incision was made in the mid supra umbilical region that permitted access into the peritoneum. The peritoneum cavity was distended, and a perforation of 1 cm in diameter on the gastric body with an erosion of 5 cm on the muscular layer was found. The perforation was closed in two planes with vycril 3-0 simple and Lemberg stitches. Cephalosporin and metronidazole were started to treat abdominal sepsis. Six days after the surgery, oral route feeding was started and it was well tolerated. The patient showed good evolution. She was discharged after 13 days without complications. Currently, there is no algorithm for the management of gastrointestinal barotrauma. The management solely depends on the experience and skills of the interdisciplinary team in charge of the case.

Keywords:

Acute abdominal pain; Barotrauma; Gastric perforation; Pediatrics

Cite the Article:

Carrasco Ortega CE, Bueno Bueno MA, Mezquite Reynoso CL, Ramírez Verdugo E, Carrasco OF, Juarez Olguin H, et al. A Rare Case of Gastrointestinal Barotrauma in Pediatric Age: A Case Report. Ann Clin Case Rep. 2022; 7: 2101..