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Acta pediátrica de México
On-line version ISSN 2395-8235Print version ISSN 0186-2391
Abstract
GIL-VARGAS, Manuel et al. Diagnosis of gastric pneumatosis in pediatric patients. Case report series. Acta pediatr. Méx [online]. 2018, vol.39, n.2, pp.179-184. ISSN 2395-8235. https://doi.org/10.18233/apm39no2pp179-1841577.
Gastric pneumatosis is the presence of air in the stomach wall. It is a radiological sign extremely rare in the pediatric population, caused by microscopic injuries in the gastric mucosa. We described 4 clinical cases of gastric pneumatosis in pediatric patients during January 1st, 2010 to December 31st, 2015.
The 4 patients presented similarities in the symptomatology, such as vomiting, fever and abdominal pain. Cases 2 presented as a personal pathological antecedent Down syndrome, and the case 4 presented history of exploratory laparotomy caused by axial torsion of the stomach. Cases 1 and 4 underwent a second surgical intervention due to intestinal obstruction. 1 patient was a voluntary discharged.
Gastric
pneumatosis is a radiological sign that lead us to suspect a gastroduodenal obstruction. Several cases of gastric pneumatosis have been found in patients with Down syndrome.
Keywords : gastric pneumatosis; emphysematous gastritis; quistic neumatosis; gastric emphysema.