scholarly journals Perforated Duodenal Ulcer in a Young Nepalese Girl: An Infrequent Diagnosis for Age

2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
Ashish Lal Shrestha ◽  
Anusha Shrestha
Keyword(s):  
Duodenal Ulcer ◽  
Acute Abdomen ◽  
Patch Repair ◽  
Successful Outcome ◽  
Emergency Laparotomy ◽  
Perforated Duodenal Ulcer ◽  
Gradual Improvement ◽  
Omental Patch ◽  
Abdominal Radiographs ◽  
Strong Suspicion

Perforated duodenal ulcer (PDU) is exceedingly uncommon in children. In a child with acute abdomen and pneumoperitoneum, an appendiceal etiology is more often suspected as a likely cause. Failure or delay to diagnose a PDU can result in significant morbidity and even mortality. We report a case of acute abdomen in a girl with PDU with a successful outcome. A 12-year-old school girl presented to emergency room (ER) with acute generalized abdominal pain for 2 days. Clinical examination revealed florid peritonitis, and abdominal radiographs showed free peritoneal air. At emergency laparotomy, PDU was noted with general peritoneal contamination. Omental patch repair and continued supportive care resulted in gradual improvement. PDU is an uncommon cause of peritonitis in children and poses significant challenges in management. Strong suspicion and prompt appropriate intervention is necessary to avoid untoward outcomes.

Laparoscopic omental patch repair of perforated duodenal ulcer with an automated stapler

1994 ◽  
Vol 81 (6) ◽  
pp. 923-923
Author(s):  
A. Wyman ◽  
R. C. Stuart ◽  
A. Darzi ◽  
J. R. T. Monson
Keyword(s):  
Duodenal Ulcer ◽  
Patch Repair ◽  
Perforated Duodenal Ulcer ◽  
Omental Patch

Laparoscopic omental patch repair of perforated duodenal ulcer with an automated stapler

1993 ◽  
Vol 80 (12) ◽  
pp. 1552-1552 ◽  
Author(s):  
A. Darzi ◽  
N. J. Cheshire ◽  
S. S. Somers ◽  
P. A. Super ◽  
P. J. Guillou ◽  
...  
Keyword(s):  
Duodenal Ulcer ◽  
Patch Repair ◽  
Perforated Duodenal Ulcer ◽  
Omental Patch

Comparison between laparoscopic and conventional omental patch repair for perforated duodenal ulcer

1996 ◽  
Vol 10 (11) ◽  
pp. 1060-1063 ◽  
Author(s):  
J. B. Y. Sø ◽  
C. K. Kum ◽  
M. L. Fernandes ◽  
P. Goh
Keyword(s):  
Duodenal Ulcer ◽  
Patch Repair ◽  
Perforated Duodenal Ulcer ◽  
Omental Patch

FACTORS INFLUENCING THE OPERATION TECHNIQUE OF PEFORATED DUODENAL ULCER REPAIR BY SINGLEPORT LAPAROSCOPIC SURGERY

2016 ◽  
pp. 99-105
Author(s):  
Huu Tri Nguyen ◽  
Loc Le ◽  
Doàn Van Phu Nguyen ◽  
Nhu Thanh Dang ◽  
Thanh Phuc Nguyen
Keyword(s):  
Duodenal Ulcer ◽  
Laparoscopic Surgery ◽  
Correlation Coefficient ◽  
Open Surgery ◽  
Operative Time ◽  
Single Port ◽  
Time Correlation ◽  
Patch Repair ◽  
Perforated Duodenal Ulcer ◽  
Conversion To Open Surgery

Background: Single-port laparoscopic surgery (SPLS) is increasingly used in surgery and in the treatment of perforated duodenal ulcer. The aim of this study was to evaluate technical factors for perforated duodenal ulcer repair by SPLS. Methods: A prospective study on 42 consecutive patients diagnosed with perforated duodenal ulcer and treated with SPLS at Hue university of medicine and pharmacy hospital and Hue central hospital from January 2012 to February 2015. Results: The mean age was 48.1 ± 14.2 (17 - 79) years. 40 patients were treated with suture of the perforation by pure SPLS. There was one case (2.4%) in which one additional trocar was required. Conversion to open surgery was necessary in one patient (2.4%) in which the perforation was situated on the posterior duodenal wall. Two patients (4.8%) with history of abdominal surgery were successfully treated by pure SPLS. The size of perforation was correlated with suturing time (correlation coefficient r = 0.459) and operative time (correlation coefficient r = 0.528). Considering suture type, X stitches were used in 95.5% cases, simple stitches were used in one case (2.4%) while Graham patch repair technique was utilized in one case (2.4%) with large perforation. Most cases (95.1%) required only simple suture without omental patch. Peritoneal drainage was spared in most cases (90.2%). Conclusions: SPLS is a safe method for the treatment of perforated duodenal ulcer. Posterior duodenal location is the main cause of conversion to open surgery. Factor related to operative time is perforation size. Key words: perforated duodenal ulcer, single port laparoscopic repair, single port laparoscopy

scholarly journals A Curious Case of Intestinal Diaphragm Disease Unmasked by Perforation of a Duodenal Ulcer

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Mairéad McNally ◽  
Ion Cretu
Keyword(s):  
Duodenal Ulcer ◽  
Bowel Obstruction ◽  
Immune Suppression ◽  
Iron Deficiency Anaemia ◽  
Ct Scanning ◽  
Emergency Laparotomy ◽  
Perforated Duodenal Ulcer ◽  
Deficiency Anaemia ◽  
Diaphragm Disease ◽  
Inflammatory Drugs

Nonsteroidal anti-inflammatory drugs are a common cause of intestinal injury. A variety of NSAID-induced injuries may occur including ulcers, erosions, colitis, strictures, and diaphragm disease. Diaphragm disease refers to the development of multiple thin, concentric, stenosing strictures in the intestine. Strictures occur most often in the midintestine and are thought to be pathognomonic of NSAID damage. They can lead to intermittent or complete bowel obstruction. Diagnosis may be elusive as there is nothing specific about NSAID-induced injury at endoscopy and histology is also nonspecific. Even at laparotomy, the diagnosis of diaphragm disease may be missed as the serosa may appear normal and strictures can be difficult to palpate. While most NSAID-induced lesions tend to resolve quickly following withdrawal of the offending drug, diaphragm-like strictures usually require intervention such as stricturoplasty or surgical resection of the involved segment of bowel. Here we report the case of a 60-year-old male patient who presented with iron deficiency anaemia and recurrent subacute bowel obstruction. Following endoscopy and repeated CT scanning of his abdomen, he was diagnosed with Crohn’s disease. He was treated with 5-ASAs and immune suppression until a perforated duodenal ulcer resulted in emergency laparotomy and the subsequent discovery of multiple intestinal diaphragms attributable to long-standing NSAID use.

scholarly journals Perforated duodenal ulcer: A rare cause of acute abdomen in children

2016 ◽  
Vol 2 (3) ◽  
pp. 155
Author(s):  
SimmiK Ratan ◽  
RajpalSingh Sisodiya ◽  
Balkrishna Tripathi
Keyword(s):  
Duodenal Ulcer ◽  
Acute Abdomen ◽  
Perforated Duodenal Ulcer
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