Total prepyloric transection of stomach and vertebral trauma: case report and review of the literature

A rare injury of stomach associated with vertebral trauma in a 10-year-old girl, a victim of a traffic accident, is presented. Early X-ray and computerized tomography scan revealed no free abdominal air, only signs of pancreas contusion and fracture of the Th 12 and L 1 vertebral body were evident....

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Bibliographic Details
Published in:Pediatric surgery international 2008-07, Vol.24 (7), p.851-853
Main Authors: Pycha, Karel, Rygl, Michal, Blazek, Daniel, Keil, Radan, Stulík, Jan, Snajdauf, Jirí
Format: Article
Language:English
Subjects:
Abdominal Injuries - diagnosis
Abdominal Injuries - surgery
Accidents, Traffic
Child
Endoscopy, Gastrointestinal
Female
Follow-Up Studies
Humans
Laparotomy - methods
Lumbar Vertebrae - injuries
Medicine
Medicine & Public Health
Pediatric Surgery
Pediatrics
Review Article
Rupture
Spinal Injuries - diagnosis
Spinal Injuries - surgery
Stomach - injuries
Stomach - surgery
Surgery
Suture Techniques
Thoracic Vertebrae - injuries
Tomography, X-Ray Computed
Trauma Severity Indices
Vertebroplasty - methods
Wounds, Nonpenetrating - diagnosis
Wounds, Nonpenetrating - surgery
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Summary:A rare injury of stomach associated with vertebral trauma in a 10-year-old girl, a victim of a traffic accident, is presented. Early X-ray and computerized tomography scan revealed no free abdominal air, only signs of pancreas contusion and fracture of the Th 12 and L 1 vertebral body were evident. Transection of stomach was revealed during endoscopy (an attempt to perform retrograde cholangio-pancreaticography) 20 h after the trauma. Primary suture of the rupture was performed. Sepsis and multiple organ dysfunction syndrome developed in the postoperative course. The girl subsequently underwent four laparotomies for abdominal infection, bleeding and colonic stricture. After resolution of the abdominal disorders the girl underwent surgical stabilization of spine. Currently, 2 years after trauma, she is doing well without any gastroenterologic dysfunction.
ISSN:0179-0358
1437-9813
DOI:10.1007/s00383-008-2160-6