CASE REPORT OF DUODENAL STENOSIS RESULTS FROM PEPTIC ULCER AT PEDIATRIC DEPARTMENT AT MILITARY HOSPITAL 175

Abstract

Peptic ulcer disease (PUD) is a common disease in adults. In Vietnam, there are no specific data on the incidence and complications rate in childen. The ulcer progresses for a long time, almost has unclear symptoms leading to misdiagnosis and delayed treatment result in complications such as: gastrointestinal bleeding, gastric outlet obstruction, etc.

A thirteen year-old boy hospitalized due to seizure and vomiting. Clinical assesment and laboratory tests showed chonic severe hypokalemia on the malnourished patient. An ultrasound showed gastric enlargement, upper GI endoscopy showed two ulcerative lesions and duodenal bulb deformation that blocks food entering the intestine. The patient diagnosed with Peptic ulcer disease caused by Helicobacter pylori (H. pylori), complicated with Gastric outlet obstruction. After consulting specialists the treatment implemented with Proton pump inhibitors (PPIs), total parenteral nutrition, intravenous potassium replacement. The patient had a good response to the therapy and was discharged from the hospital in 14 days; continued H. pylori treatment and followed- up after inpatient stay.