Spontaneous cecal perforation secondary to acute fulminant gastroenteritis: report of a rare case

  • Duvuru Ram
  • Vilvapathy S. Karthikeyan
  • Sarath C. Sistla
  • Sheik M. Ali
  • Parnandi Sridhar
  • Nagarajan Rajkumar
Keywords: acute gastroenteritis, fulminant gastroenteritis, spontaneous cecal perforation

Abstract

Acute gastroenteritis and food poisoning are the two common diagnoses considered when two or more family members present with vomiting, diarrhea, and abdominal pain. Acute fulminant gastroenteritis is usually seen in immunocompromised patients and is associated with significant morbidity and mortality. We report a 15-year-old boy who presented with acute onset abdominal pain, vomiting, and diarrhea, along with three other family members. He developed abdominal distension and signs of hollow viscus perforation after 3 days; by that time he had developed  respiratory distress requiring ventilatory assistance. During laparotomy, a 1-cm cecal perforation with feculent peritoneal contamination was noted. Limited ileocolic resection and ileostomy was performed and ileostomy closure was carried out at 6 weeks. This case is being reported to highlight the unusual presentation of fulminant gastroenteritis, leading to spontaneous cecal perforation.

Keywords: acute gastroenteritis, fulminant gastroenteritis, spontaneous cecal perforation
Published
2018-02-26
Section
Articles

Journal Identifiers


eISSN: 1687-4137
print ISSN: 1687-4137