• L Bott, D Vara, I Missotte, and C Ménager.
• Service de pédiatrie, clinique Jeanne-de-Flandre, centre hospitalier universitaire de Lille, rue Oscar-Lambret, 59000 Lille, France.
• Arch Pediatr. 2003 Jan 1;10(1):31-3.

UnlabelledPerforated gastric ulcer is unusual in children. We report a case in a girl with an unexpected evolution.Case ReportA 13-year-old girl was admitted for abdominal pain. She had no particular personal history but her father had a perforated ulcer. On admission she was not painful, her abdomen was soft on palpation. The white blood cell count was 1.7 x 10(3)/mm3. A right pneumoperitoneum was seen on an abdominal X-ray film. Because of her good general status and the normalization of the abdominal X ray film six hours later, no surgical exploration was performed. On the fourth day, a gastrointestinal endoscopy showed an anterior gastric ulcer which was perforated. Biopsies did not isolate H. pylori. The patient was given a treatment with amoxicillin-metronidazole (7 d) and oméprazole (7 weeks). An endoscopic control, one month later, showed a total healing of the gastric ulcer.ConclusionPeptic ulcerations and their complications are underdiagnosed in childhood. This could lead to delay in diagnosis or inappropriate treatment specially in case of perforation.

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