scholarly journals Duodenal Perforation with an Unusual Presentation: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Arif Hussain Sarmast ◽  
Fazl Q. Parray ◽  
Hakim Irfan Showkat ◽  
Yasir A. Lone ◽  
Naseer A. Bhat
Keyword(s):  
Peptic Ulcer ◽  
Case Report ◽  
Peptic Ulcer Disease ◽  
Ascaris Lumbricoides ◽  
Young Female ◽  
Unusual Presentation ◽  
Duodenal Perforation ◽  
Ulcer Disease

A young female presented with classical complaints suggestive of peptic ulcer disease leading to signs of peritonitis. The said patient after being subjected to baseline workup was subjected to laparotomy which proved to be a surgical surprise. A live ascaris lumbricoides worm was seen pouting out of a duodenal perforation.

scholarly journals Choledochoduodenal Fistula Secondary to Peptic Ulcer Disease: A Case Report

2019 ◽  
Vol 20 ◽  
pp. 398-401
Author(s):  
Antoine Kachi ◽  
Mouhammad Kanj ◽  
Charif Khaled ◽  
Chady Nassar ◽  
Charbel Bou Rached ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Case Report ◽  
Peptic Ulcer Disease ◽  
Ulcer Disease ◽  
Choledochoduodenal Fistula

Diagnosis and Management of Benign Gastric and Duodenal Disease

2014 ◽  
Author(s):  
Gentian Kristo ◽  
Thomas E. Clancy
Keyword(s):  
Peptic Ulcer ◽  
Peptic Ulcer Disease ◽  
Transarterial Embolization ◽  
Duodenal Perforation ◽  
Selective Vagotomy ◽  
Omental Patch ◽  
Highly Selective Vagotomy ◽  
Ulcer Disease ◽  
Management Of Complications ◽  
Bleeding Gastric Ulcer

The diagnosis of uncomplicated peptic ulcers is difficult to make on a solely clinical basis. Whereas radiographic upper gastrointestinal (UGI) series remain useful, endoscopy is the most accurate method of establishing the diagnosis of peptic ulcer disease. Laboratory tests play an important role in the diagnosis of Helicobacter pylori infection and Zollinger-Ellison syndrome. Figures showing UGI series with double contrast and H. pylori organisms on gastric biopsy samples are provided. The improved medical management of peptic ulcer disease has decreased the need for surgical intervention, which is now largely reserved for urgent management of complications such as hemorrhage, bleeding, and perforation, or the management of obstruction from intractable disease. The appropriate extent of preoperative evaluation for a patient undergoing surgery for a benign gastroduodenal disorder is dictated primarily by the nature of the presenting problem. Endoscopy is the main diagnostic tool to identify the source of bleeding, and in many cases endoscopic therapy can control the bleeding. Angiographic transarterial embolization may be considered following failed endoscopic hemostasis, particularly in high-risk surgical patients. Operative planning is described. The steps of the operative technique, complications, and outcome evaluations are provided for the main surgical interventions for peptic ulcer disease, including vagotomy and pyloroplasty for bleeding duodenal ulcer; resection of bleeding gastric ulcer; omental patch for duodenal perforation (Graham patch); antrectomy; highly selective vagotomy; laparoscopic treatment of peptic ulcer disease; and duodenal diverticulectomy. Operative figures show a Kocher maneuver; omental patch; truncal vagotomy; highly selective vagotomy; Taylor procedure; Heineke-Mikulicz pyloroplasty; Finney pyloroplasty; Billroth I and II antrectomy; Braun enteroenterostomy; and duodenal diverticulectomy. This review contains 15 figures, 2 tables, and 43 references.

A Case Report of Double Pylorus: An Unusual Complication of Peptic Ulcer Disease

2018 ◽  
Vol 113 (Supplement) ◽  
pp. S1069
Author(s):  
Andrew Ofosu ◽  
Christopher Brana ◽  
Andrea Culliford ◽  
Vinaya Gaduputi
Keyword(s):  
Peptic Ulcer ◽  
Case Report ◽  
Peptic Ulcer Disease ◽  
Unusual Complication ◽  
Ulcer Disease ◽  
Double Pylorus

scholarly journals A Five-Year Review of Perforated Peptic Ulcer Disease in Irrua, Nigeria

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
A. E. Dongo ◽  
O. Uhunmwagho ◽  
E. B. Kesieme ◽  
S. U. Eluehike ◽  
E. F. Alufohai
Keyword(s):  
Peptic Ulcer ◽  
Peptic Ulcer Disease ◽  
Emergency Admission ◽  
Perforated Peptic Ulcer ◽  
Duodenal Perforation ◽  
Peptic Ulcer Perforation ◽  
Ulcer Disease ◽  
A Prospective Study ◽  
Age Range ◽  
Structured Questionnaire

Background. Peptic ulcer perforation is a common cause of emergency admission and surgery. This is the first study that documents the presentation and outcome of management in Irrua, Nigeria. Patients and Method. This is a prospective study of all patients operated on for perforated peptic ulcer between April 1, 2010, and March 31, 2015. A structured questionnaire containing patients’ demographics, operation findings, and outcome was filled upon discharge or death. Results. There were 104 patients. 81 males and 23 females (M : F = 3.5 : 1). The age range was between 17 years and 95 years. The mean age was 48.99 years ± SD 16.1 years. The ratio of gastric to duodenal perforation was 1.88 : 1. Perforation was the first sign of peptic ulcer disease in 62 (59.6%). Pneumoperitoneum was detectable with plain radiographs in 95 (91%) patients. 72 (69.2%) had Graham’s Omentopexy. Death rate was 17.3%. Conclusion. We note that gastric perforation is a far commoner disease in our environment. Perforation is often the first sign of peptic ulcer disease. We identify fasting amongst Christians as a risk factor for perforation.

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