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Spontaneous Gastric Perforation in a Child With Heterotaxy Syndrome

Schinasi, Dana Aronson MD; Ellison, Angela M. MD, MSc

doi: 10.1097/PEC.0b013e3181fe9175
Illustrative Cases

Gastric perforation is a potentially fatal condition that is rare in infants and children. Most case reports in the pediatric population are of neonates or in patients with various associated risk factors including prematurity, ischemia, trauma, or ulcers. Heterotaxy syndrome is characterized by abnormal symmetry and malposition of the thoracoabdominal organs and vessels. Spontaneous gastric perforation has not previously been reported in a child with heterotaxy syndrome. We present a case of a child with heterotaxy syndrome who presented with spontaneous gastric perforation. We review the signs and the symptoms, radiographic clues, and diagnostic considerations of gastric perforation.

From the Children's Hospital of Philadelphia, Philadelphia, PA.

Reprints: Dana Aronson Schinasi, MD, Department of Emergency Medicine, A-S01, The Children's Hospital of Philadelphia, 34th St and Civic Center Blvd, Philadelphia, PA 19104 (e-mail:

© 2010 Lippincott Williams & Wilkins, Inc.