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