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Bleeding Duodenal Ulcer in a Healthy Infant Presenting with Rectal Bleeding and Requiring Surgical Treatment - Abstract

Ramnik Patel, Narayanaswamy Bommayya, Muhammad Choudhry, David Drake



We wish to report the case of a 12-months-old male infant with bleeding duodenal ulcer who presented with vomiting, diarrhoea and rectal bleeding. The infant required exploratory laparotomy and ligation of bleeding point to control bleeding. The presentation, treatment, and outcome of this case requiring surgery for peptic ulcer disease (PUD) in the post-histamine 2 -blocker era has been highlighted. Rectal bleeding is unusual presenting feature of PUD. The management in an infant with upper gastro-intestinal bleeding is resuscitation and stabilization followed by a diagnostic evaluation. Bleeding duodenal ulcer could be a surgical problem even in the post proton pump inhibitors era and is a now rare scenario in current practice.

Key words: duodenal ulcer, acid peptic disease, gastrointestinal bleeding, infant


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