A Case of Spontaneous Rupture of the Stomach in a Young Girl

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  • UEDA Yoshinori
    Department of Surgery, Otsuki Municipal Central Hospital Department of Surgery II, Tokyo Women's Medical University
  • SHINDO Hironari
    Department of Surgery, Otsuki Municipal Central Hospital
  • ADACHI Noboru
    Department of Legal Medicine, University of Yamanashi Interdisciplinary Graduate School of Medicine and Engineering
  • YAMANE Takao
    Department of Surgery, Otsuki Municipal Central Hospital Department of Surgery II, Tokyo Women's Medical University
  • SAITO Motonobu
    Department of Surgery II, Tokyo Women's Medical University
  • KAMEOKA Shingo
    Department of Surgery II, Tokyo Women's Medical University

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Other Title
  • 13歳の特発性胃破裂の1例
  • 症例 13歳の特発性胃破裂の1例
  • ショウレイ 13サイ ノ トクハツセイ イ ハレツ ノ 1レイ

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Abstract

A 13-year-old girl with no remarkable history who had experienced acute abdominal pain and hematemesis was brought to our hospital in shock. Abdominal computed tomography (CT) showed a large quantity of fluid and free intraperitoneal air. We started CPR based on a diagnosis of pan-peritonitis due to perforation of the digestive tract, but she was unable to be revived. Autopsy revealed two ruptured parts of the anterior wall at the fundus of the stomach showing necrosis, and the gastric wall was very thin just around the ruptured area. This case is unusual and the cause of gastric rupture is unclear. Here we report a case of spontaneous rupture of the stomach in a young girl.

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