Main Article Content

Abstract

The diagnosis of gastro duodenal ulcer is rarely evoked in children complaining for abdominal pain. Intestinal parasites are mostly incriminated in the tropical zone. The misdiagnosis of gastro duodenal ulcer in children exposes to complications. The case presented is a 14 year old male adolescent seen at consultation for malaise at school. History revealed recurrent abdominal pain since the age of nine. Several diagnoses were made leading to surgical interventions at 12 and 13 years respectively for umbilical hernia and appendicitis without any relief of symptoms. The last episode of pain associated with melena run for one week. The day before consultation, the child took 500mg of Aspirin for headaches. On physical examination the child looked anemic. Bleeding complicating a gastro duodenal ulcer was suspected and was confirmed by an oeso-gastro-duodenal fibroscopy. Evolution was favourable under Ranitidin and iron tablets. Abdominal pain resolved within 24 hours of treatment

Article Details

How to Cite
Monebenimp, F., Chelo, D., & Njoya, O. (2013). Révélation tardive d’Ulcère duodénal après deux chirurgies abdominales blanches chez un adolescent au CHU de Yaoundé, Cameroun. HEALTH SCIENCES AND DISEASE, 14(1). Retrieved from https://www.hsd-fmsb.org/index.php/hsd/article/view/7

References

  1. [1] Robb JDA, Thomas PS, Orszulok J, Odling-smee GW. Duodenal Ulcer in Children. Archives of Disease in Childhood, 1972, 47, 688
  2. Ceylan A, Kırımi E, Tuncer O et al. Prevalence of Helicobacter pylori in Children and Their Family Members in a District in Turkey. J HEALTH POPUL NUTR 2007 Dec;25(4):422-427
  3. Plunkett A, Beattie RM. Douleurs abdominales récurrentes de l’enfant. J. R. Soc. Med., 2005 ; 98 : 101-6
  4. Spee LAA, Van Den Hurk APJM, Van Leeuwen Y et al. Childhood abdominal pain in primary care: design and patient selection of the HONEUR abdominal pain cohort. BMC Family Practice 2010, 11:27
  5. Lee NM, Yun SW, Chae SA et al. Perforated duodenal ulcer presenting with massive hematochezia in a 30-month-old child. World J Gastroenterol 2009 October 14; 15(38): 4853-4855
  6. NZARUBARA GR. Cost effective management of duodenal ulcers in Uganda: Interventions based on a series of seven cases. Afr Health Sci. 2005 March; 5(1): 73–78.
  7. Berger MY, Gieteling MJ, Benninga MA. Chronic abdominal pain in children. BMJ | 12 MAY 2007 | VOLUME 334
  8. OKELLO T R . Upper gastrointestinal endoscopic findings in adolescents at Lacor hospital, Uganda. African Health Sciences Vol 6 No 1 March 2006
  9. Mc Omber MA, Shulman RJ. Pediatric Functional Gastrointestinal Disorders. Nutr Clin Pract. 2008 ; 23(3): 268
  10. Van Tilbur MAL, Runyan DK, Zolotor AJ et al. Unexplained Gastrointestinal Symptoms After Abuse in a Prospective Study of Children at Risk for Abuse and Neglect. Ann Fam Med 2010;8:134-140
  11. Chitkara DK, Talley NJ, Schleck C al. Recollection of childhood abdominal pain in adults with functional gastrointestinal disorders. Scand J Gastroenterol. Author manuscript; available in PMC 2009 May 18.
  12. Gottrand F. Quels sont les problèmes spécifiques posés chez l’enfant ? Gastroenterol Clin Biol 2003 ; 27 :484-487
  13. Balint GA. Selected gastrointestinal pathologies in tropical
  14. sub-Saharan Africa. Bulletin of the World Health Organization, 1998, 76 (2): 207-212
  15. Boers M, Tangelder MJD, Van Ingen H et al. The rate of NSAID-induced endoscopic ulcers increases linearly but not exponentially with age: a pooled analysis of 12 randomised trials. Ann Rheum Dis 2007;66:417–418.
  16. [15] Markku PTS, Markku JK, Lauri HS, Kari JM. Peptic ulcer and childhood adversities experienced by working-aged people. World J Gastroenterol 2009 July 21; 15(27): 3405-3410
  17. Mizokami Y: Efficacy and safety of rabeprazole in non-steroidal anti-inflammatory drug-induced ulcer in Japan. World J Gastroenterol 2009 October 28; 15(40): 5097-5102
  18. Habbick BF, Melrose AG, Grant JC. Duodenal Ulcer in Childhood: A Study of Predisposing Factors. Arch. Dis. Childh., 1968, 43, 23.
  19. Xirasagar S, Lin HC, Chen CS. Role of Meteorological Factors in Duodenal Ulcer Seasonality. A Nation-wide, Population-Based Study.J Gen Intern Med 22(10):1439–46
  20. Groenen MJM, Kuipers EJ, Hansen BE, Ouwendijk RJT. Incidence of duodenal ulcers and gastric ulcers in a Western population: Back to where it started. Can J Gastroenterol Vol 23 No 9 September 2009
  21. Goodman KJ, Correa P, Mera R et al. Effect of Helicobacter pylori infection on growth velocity of school-age Andean children. Epidemiology. 2011 Jan;22(1):118-26.
  22. Segal I , Otley A , Issenman R et al. Low prevalence of Helicobacter pylori infection in Canadian children: A cross-sectional analysis. Can J Gastroenterol Vol 22 No 5 May 2008
  23. Raymond J, Thiberge J-M, Kalach N et al. (2008). Using Macro-Arrays to Study Routes of Infection of Helicobacter pylori in Three families. PLoS ONE 3(5): e2259. doi:10.1371/journal.pone.0002259
  24. Oluwole GA. Perforated Duodenal Ulcer in a Tropical African Population. Journal of the National Medical Association, vol. 71, no. 3, 1979
  25. Murray WR, Laferla G, Cooper G, Archibald M. Duodenal ulcer healing after presentation with haemorrhage. Gut, 1986, 27, 1387-1389
  26. Oderda G. Management of Helicobacter pylori infection in
  27. Children. Gut 1998;43 (suppl 1):S10–S13
  28. Jungi C, Joo YJ, Joon SK et al. Efficacy of Two Triple Eradication Regimens in Children with Helicobacter pylori Infection. J Korean Med Sci 2006; 21: 1037-40
  29. Cheryl SB, Karen JG, Carl VP et al. Antibiotics taken for other illnesses and spontaneous clearance of Helicobacter pylori infection in children. Pharmacoepidemiol Drug Saf. Author manuscript; available in PMC 2010 August 1.
  30. Khansa BM, Burucoa C, Zribi M et al. Primary resistance to clarithromycin, metronidazole and amoxicillin of Helicobacter pylori isolated from Tunisian patients with peptic ulcers and gastritis: a prospective multicentre study. Annals of Clinical Microbiology and Antimicrobials 2010, 9:22

Most read articles by the same author(s)

1 2 3 4 > >>