Akademik Veri Yönetim Sistemi
ANNALS OF CLINICAL AND ANALYTICAL MEDICINE, sa.9, ss.616-620, 2024 (ESCI)
Aim: This study aimed to evaluate the general characteristics and treatment methods of gastric or duodenal ulcer perforations in pediatric patients presenting to the emergency department. Material and Methods: A total of 11 patients under the age of 18 who applied to the emergency department with a preliminary diagnosis of acute abdomen between June 2013 and June 2023, and who were detected to have perforation due to gastric or duodenal ulcer were included in the study. Data about the patients were obtained by retrospectively scanning the hospital automation system records. Results: The median age of the patients included in the study was 16 years (range: 14-17), and nine (81.8%) were male. At the time of admission to the hospital, ten (90.9%) of the patients had abdominal pain, four (36.4%) had vomiting, and one (9.1%) had confusion. All patients underwent primary repair via therapeutic laparotomy. In eight of the cases (72.7%), the ulcer was localized in the stomach, and in the other three cases, the lesion was in the first part of the duodenum. Discussion: The findings from our study show that the majority of childhood ulcer perforation cases are seen in boys and at the end of childhood, that they are mostly due to gastric ulcers. Peptic ulcer perforation is a very rare emergency situation that requires attention in pediatric patients who present to the emergency department with acute abdominal symptoms.