- M. K. Diakite1*, H. I. Mpanya Ntumb2, B. Odoulou2, H. Y. Ouasil2, H. C. Ahmanna2, B. Zouita2, D. Basraoui2, H Jalal2, M. Lagrine2, R. El Qadiry2, H. Nassih2, A. Bourraħouat2, I. Ait Sab2
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1Radiology Department,
CHU Mohamed VI de Marrakech, Morocco
2Radiology Department/Pediatrics Department, B, Mother and Child Hospital, CHU Mohamed VI, Marrakech, Morocco - ISR Journal of Medical Case Reports (ISRJMCR)
Summary: This case report describes a 13-year-old adolescent, diabetic for 3 years, admitted for severe abdominal pain associated with bilious vomiting and cessation of bowel movements. Clinical and paraclinical evaluation revealed a bulbar ulcer complicated by a duodenal haematoma leading to a partial occlusive syndrome and acute reactive pancreatitis. Management included digestive rest, parenteral nutrition and eradication of Helicobacter pylori by injection. The favourable clinical and radiological outcome highlights an effective therapeutic approach and raises questions about the management of rare gastrointestinal complications often secondary to upper gastrointestinal endoscopy in children.
