Neta Geva* and Aviv D Goldbart
Saban Pediatric Medical Center, Soroka University Medical Center, Ben Gurion University of the Negev, IsraelFulltext PDF
Introduction: Post-infectious gastroparesis is a rare disorder of delayed gastric emptying without an obstruction, in the presence of a recent infection. It is rarely diagnosed in previously healthy adolescents. Once a diagnosis is confirmed, it is important to start treatment promptly and aggressively in order to provide a relief of symptoms. Case Report: A 15-year-old girl, without any previous gastrointestinal complaints, presented with symptoms of epigastric pain, nausea, vomiting, and gradual weight loss of up to 30% of her initial body weight. She underwent extensive workup in search for a more common infectious, inflammatory, neoplastic, and psychiatric condition; all ruled out except for evidence of a recent CMV infection and delayed gastric emptying. Initiation of prokinetic treatment with Domperidone resulted in a quick cessation of symptoms. In repeated outpatient follow-up visits she was free of symptoms even after the treatment course has ended. Conclusion: Post-infectious gastroparesis is a rare diagnosis in adolescents that can be confused with numerous other organic and psychiatric conditions. Early diagnosis and treatment can provide relief of symptoms and prevent severe morbidity and even mortality.
Geva N, Goldbart AD. A Rare Case of an Adolescent with CMV Post-Infectious Gastroparesis. Ann Clin Case Rep. 2022; 7: 2246.