{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T06:05:20Z","timestamp":1780380320069,"version":"3.54.1"},"reference-count":16,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:00:00Z","timestamp":1780358400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Duodenal ulcer perforation (DUP) is exceedingly rare in the pediatric population. Its clinical presentation frequently mimics acute appendicitis (AA), leading to a high risk of preoperative misdiagnosis and posing substantial diagnostic and therapeutic challenges.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>We describe a 12-year-old boy who presented with signs and symptoms suggestive of acute appendicitis. Emergency diagnostic laparoscopy revealed a 0.6-cm perforation on the anterior wall of the duodenal bulb. The perforation was successfully repaired laparoscopically. The patient had an uneventful postoperative recovery, and follow-up endoscopy confirmed complete mucosal healing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This case highlights that pneumoperitoneum in pediatric patients presenting with AA-like symptoms should prompt consideration of DUP in the differential diagnosis. Diagnostic laparoscopy is instrumental in establishing an accurate diagnosis and enabling timely, minimally invasive treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In children with atypical acute abdominal pain, heightened clinical suspicion for DUP, particularly when imaging reveals pneumoperitoneum, combined with proactive use of laparoscopy, can reduce misdiagnosis and improve patient outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1764840","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T05:42:32Z","timestamp":1780378952000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Duodenal ulcer perforation presenting as acute appendicitis in a child: a case report and literature review"],"prefix":"10.3389","volume":"13","author":[{"given":"Zhihui","family":"Jin","sequence":"first","affiliation":[{"name":"Affiliated Baotou Clinical College of Inner Mongolia Medical University","place":["Inner Mongolia, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xusheng","family":"Yang","sequence":"additional","affiliation":[{"name":"Hepatobiliary Surgery Department, Baotou Central Hospital","place":["Inner Mongolia, China"]},{"name":"National Key Clinical Specialty Development Project (General Surgery), Baotou Central Hospital","place":["Baotou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuntian","family":"Liu","sequence":"additional","affiliation":[{"name":"Affiliated Baotou Clinical College of Inner Mongolia Medical University","place":["Inner Mongolia, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bihui","family":"Yao","sequence":"additional","affiliation":[{"name":"Hepatobiliary Surgery Department, Baotou Central Hospital","place":["Inner Mongolia, China"]},{"name":"National Key Clinical Specialty Development Project (General Surgery), Baotou Central Hospital","place":["Baotou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuewen","family":"Chen","sequence":"additional","affiliation":[{"name":"Second Affiliated Hospital of Baotou Medical College","place":["Inner Mongolia, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lu","family":"Liang","sequence":"additional","affiliation":[{"name":"Affiliated Baotou Clinical College of Inner Mongolia Medical University","place":["Inner Mongolia, China"]},{"name":"National Key Clinical Specialty Development Project (General Surgery), Baotou Central Hospital","place":["Baotou, 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