Akut gastrik dilatasyona bağlı mide perforasyonu, olgu sunumu

Objective: Acute gastric dilatation (AGD) and gastric perforation are extremely rare conditions in childhood. Psychogenic polyphagia, peptic ulcer, trauma of resuscitation, electrolyte abnormalities, volvulus and many other reasons may play a role in the etiology of the AGD. Gastric decompression and urgent surgical intervention reduce mortality. Case Report: A case of 14 years old boy who presented with complaints of abdominal pain and vomiting that diagnosed gastric perforation was reported. The patient who suffered with abdominal pain and vomiting due to over-eating after fasting, mild abdominal distension and peritoneal irritation findings were detected in the physical examination and free air was found at plain abdominal radiography. Primary repair was performed by excision of necrotic and ruptured area that is detected in the emergency laparotomy. The patient was discharged with no postoperative complications. Conclusions: Early diagnosis and urgent surgical intervention in spontaneous gastric perforation due to acute gastric dilatation is life saving.