Combination of refl ux esophagitis, erosive gastroduodenitis with a blunt trauma of the trunk with a rupture of the duodenum in a child

We present a rare clinical observation of an 11-year-old boy who, as result fall from height, received severe combined injury the chest, abdomen, retroperitoneal space, which was accompanied by contusion lungs with hydrothorax, right kidney, pancreas and duodenal rupture development traumatic shock III degree, bile peritonitis. It required emergency surgery, intensive care patient’s chronic reflux esophagitis esophageal stenosis, erosive gastritis, duodenitis. The stenosis esophagus may have had post-traumatic character.