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Atypical presentation at acute gastritis: significant gastric wall thickening as a presentation of a primary Helicobacter pylori infection in children
  1. Kiyokuni Nakamura,
  2. Ryo Tamura,
  3. Yoshitomi Yasui and
  4. Hideaki Okajima
  1. Pediatric Surgery, Kanazawa Medical University, Kahoku-gun, Ishikawa, Japan
  1. Correspondence to Ryo Tamura; nmy.tamura{at}


Helicobacter pylori infection could cause chronic inflammation in the stomach and induce peptic ulcer disease or even malignant tumour. The initial infection of the organism happens in childhood but most of cases are latent. We had a case of 10-year-old girl who presented with acute epigastric pain and significant thickening of the stomach wall on CT. The finding seemed atypical for acute gastritis so oesophagogastroduodenoscopy and serology examination were added and the primary infection of H. pylori was confirmed with the exclusion of other possible diagnoses like eosinophilic gastritis and IgA vasculitis. Acute gastritis is one of the most common sickness in children, however, it would be worthwhile considering further investigation including H. pylori infection in a case of atypical presentation to prevent negative consequences derived from chronic H. pylori infection.

  • stomach and duodenum
  • paediatrics
  • hepatitis and other GI infections

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  • Contributors KN and RT contributed all work for the article. YY and HO participated in patient management and a discussion for the article.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.