A case of perforative gastric ulcer in a child

Kolya K., 4 years 8 months old, fell ill at 10 a.m. on 26/X-56. Suddenly, after a coughing fit, he had severe abdominal pain and vomited food several times. Diagnosed with intestinal obstruction, appendicitis, the patient was referred to a surgical department. On admission, the boy's condition was severe, anxious, complaining of constant severe abdominal pain. There were no stools, gases were not discharged. Consciousness is clear.