Acute Gastric Dilatation due to Pyloric Band, with Acute Appendicitis and IleoIleal Intussusception in a 4-Year-Old Girl: Case Report

Acute gastric dilatation (AGD) is caused by mechanical and non-mechanical stomach processes. appendicitis affects children treated with surgery. Intussusception proximal bowel invagination against the distal bowel. Clinical findings of intussusception in form intermittent abdominal pain, a palpable mass abdomen, accompanied wine-red stools. Due to significant morbidity mortality, multiple-problem surgical emergencies require accurate diagnosis treatment. A 4-year-old girl complained full stomach, discomfort, inability flatus, vomiting, fever, suggesting appendix perforation widespread peritonitis. Radiographs show an intra-abdominal mass. Exploratory laparotomy surgery revealed due pyloric band, acute appendicitis, ileoileal intussusception, grade 3 adhesions, generalized Laparoscopic issues. The procedure was followed partial gastrectomy, milking procedures, appendectomy, omentectomy release adhesions. Gastric histopathological examination showed results suppurative gastritis. Postoperatively patient hospitalized for nine days improved condition. complex pathogenesis related multiple cases these patients. continuous process thought occur between ER through mechanism infection involving omentum according anatomical location. Then hypertrophy lymphoid tissue Peyer's plaque contribute intussusception. evaluation appropriate management emergency problems are important prevent further deterioration complications.