Multidisciplinary approach for treatment of duodenal perforation complicated with gastrointestinal hemorrhage in pediatric patient and relevant literature review
- 1Department of Pediatric Surgery, The Affiliated Hospital of Qingdao University
- 2Cardiovascular Surgery Intensive Care Unit, The Affiliated Hospital of Qingdao University
Abstract
Objective To investigate the key clinical diagnostic and therapeutic points, challenges and corresponding strategies for duodenal perforation complicated with recurrent gastrointestinal bleeding in children, and to provide a clinical reference for managing this rare pediatric acute critical condition. Methods The clinical data of a 2-year-and-7-month-old female child with duodenal perforation and recurrent gastrointestinal bleeding were retrospectively analyzed. A systematic review and analysis were conducted from the perspectives of etiology, diagnosis, treatment and postoperative management, combined with relevant domestic and foreign literature over the past decade. Results A 2-year-and-7-month-old Chinese female child presented with viral enteritis initially, which progressed to duodenal perforation complicated with recurrent gastrointestinal bleeding. She received sequential interventions including duodenal perforation repair, gastroscopic exploration, gastrointestinal reconstruction, and transcatheter gastroduodenal artery embolization. Through whole-course multidisciplinary team (MDT) collaboration and refined comprehensive supportive therapy, the child achieved complete recovery with no recurrent bleeding. Conclusion The diagnosis and treatment of duodenal perforation complicated with recurrent gastrointestinal bleeding in children should focus on the core features of pediatric physiological particularities, etiological complexity, age-stage specificity and targeted management of clinical challenges. Adopting multimodal localization approaches, rationally selecting therapeutic regimens and relying on whole-course MDT collaboration can effectively reduce the risk of rebleeding and improve the prognosis of affected children.
Related
- Transhepatic chest tube malposition complicated by delayed hepatic hemorrhage following tube removal: A case report and literature review
- Transhepatic chest tube malposition complicated by delayed hepatic hemorrhage following tube removal: A case report and literature review
- P093 Primary Sjögren syndrome complicated by type II cryoglobulinaemic vasculitis, immune-complex membranoproliferative glomerulonephritis, and bowel perforation in an elderly woman
- Endoscopic Management of Bouveret Syndrome Complicated by Jejunal Perforation.
- Multidisciplinary Treatment of Abdominal Wall Recurrence After Bladder Perforation During Transurethral Resection of a Bladder Tumor
BibTeX
@article{zhu2026multidisciplinary,
title = {{Multidisciplinary approach for treatment of duodenal perforation complicated with gastrointestinal hemorrhage in pediatric patient and relevant literature review}},
author = {Rongkun Zhu and Yanan Zhang and Jingjing Liu and Di Wang and Xiaoxuan Ma and Qian Dong and Xiwei Hao},
journal = {BMC Pediatrics},
year = {2026},
month = jun,
doi = {10.1186/s12887-026-07211-9},
url = {https://doi.org/10.1186/s12887-026-07211-9},
note = {CC BY},
}
RIS
TY - JOUR
TI - Multidisciplinary approach for treatment of duodenal perforation complicated with gastrointestinal hemorrhage in pediatric patient and relevant literature review
AU - Rongkun Zhu
AU - Yanan Zhang
AU - Jingjing Liu
AU - Di Wang
AU - Xiaoxuan Ma
AU - Qian Dong
AU - Xiwei Hao
PY - 2026
DA - 2026/06/01
JO - BMC Pediatrics
DO - 10.1186/s12887-026-07211-9
UR - https://doi.org/10.1186/s12887-026-07211-9
AB - Objective To investigate the key clinical diagnostic and therapeutic points, challenges and corresponding strategies for duodenal perforation complicated with recurrent gastrointestinal bleeding in children, and to provide a clinical reference for managing this rare pediatric acute critical condition. Methods The clinical data of a 2-year-and-7-month-old female child with duodenal perforation and recurrent gastrointestinal bleeding were retrospectively analyzed. A systematic review and analysis were conducted from the perspectives of etiology, diagnosis, treatment and postoperative management, combined with relevant domestic and foreign literature over the past decade. Results A 2-year-and-7-month-old Chinese female child presented with viral enteritis initially, which progressed to duodenal perforation complicated with recurrent gastrointestinal bleeding. She received sequential interventions including duodenal perforation repair, gastroscopic exploration, gastrointestinal reconstruction, and transcatheter gastroduodenal artery embolization. Through whole-course multidisciplinary team (MDT) collaboration and refined comprehensive supportive therapy, the child achieved complete recovery with no recurrent bleeding. Conclusion The diagnosis and treatment of duodenal perforation complicated with recurrent gastrointestinal bleeding in children should focus on the core features of pediatric physiological particularities, etiological complexity, age-stage specificity and targeted management of clinical challenges. Adopting multimodal localization approaches, rationally selecting therapeutic regimens and relying on whole-course MDT collaboration can effectively reduce the risk of rebleeding and improve the prognosis of affected children.
SN - 1471-2431
ER -