All issues > Volume 44(7); 2001

Case Report

J Korean Pediatr Soc. 2001;44(7):837-840. Published online July 15, 2001.

A Case of Gastric Perforation Presenting with Secondary Localized Peritonitis Due to Bamboo in Stomach

Ji Hyoun JH Seo¹, Ji Young JY Hwang¹, Ki Su KS Kang¹, Chan-Hoo CH Park¹, Hyang-Ok HO Woo¹, Myoung Bum MB Choi¹, Hee-Shang HS Youn¹

¹Departments of Pediatrics, College of Medicine, Gyeongsang National University, Chinju, Korea

Abstract

Perforation after foreign body ingestion is rare. We report a 25-month-old girl who was diagnosed with a stomach perforation with secondary localized peritonitis caused by long, sharp bamboo. On admission, she had abdominal pain and fever. Simple abdominal erect & supine X-ray, abdominal ultrasonogram and computed tomography scan were normal. On the 6 th hospital day, gastrofiberoscopy was performed because a sharp mass was palpated by doctor on abdominal examination. Endoscopic findings revealed a 8 cm-long sharp bamboo tip was pierced to the posterior wall of antrum. This foreign body was removed with Olympus FG-8L alligator forcep. She was managed with NPO and prompt intravenous antibiotics and discharged with clinical improvement.

Keywords :Gastric perforation, Foreign body, Secondary peritonitis, Gastrofiberoscopy