Peptic Ulcer Perforation: A Complication of Double Contrast Barium Meal Examination

This is a case report of peptic ulcer perforation as a complication of double contrast Barium meal examination in the presence of gastric outlet obstruction.

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Temporal Trends of Peptic Ulcer Disease in Kashmir, India

JMS SKIMS ◽

10.33883/jms.v15i2.251 ◽

2012 ◽

Vol 15 (2) ◽

pp. 136-140

Author(s):

G M Gulzar ◽

Showkat A Zargar ◽

Muzaffar Nazir ◽

Gul Javid ◽

Bashir A Khan ◽

...

Keyword(s):

Peptic Ulcer ◽

Peptic Ulcer Disease ◽

Gastric Outlet Obstruction ◽

Temporal Trends ◽

Outlet Obstruction ◽

Life Time ◽

Point Prevalence ◽

Asymptomatic Group ◽

Ulcer Disease ◽

Ulcer Perforation

BACKGROUND: Since late 1960s, the prevalence of peptic ulcer disease and its complications has been steadily decreasing. OBJECTIVE: To ascertain the changing trends in the prevalence and complications of peptic ulcer in Kashmir. METHODS: A cohort of 10474 people aged 15-60 years in district Baramulla of Kashmir was interviewed about symptoms, complications, and surgery related to peptic ulcer. People were enquired about smoking, use of NSAIDs, H2 Receptor antagonists, proton pump inhibitors and endoscopies. All symptomatic and randomly selected group of asymptomatic people underwent esophago-gastro-cluodenoscopy. RESULTS: In symptomatic group, 286 (41.45%) people hod peptic ulcer and in asymptomatic group 24 (5.35%) had peptic ulcer. There were 71 already diagnosed cases of peptic ulcer; totaling 381. Thirty three people had surgery for peptic ulcer. The point prevalence of peptic ulcer was 3.54% and lifetime prevalence 8.96%. The highest prevalence was in 4th decade. Bleeding was seen in 23.63%, gastric outlet obstruction 4.20%, ulcer perforation 0.52%. 9.39% of peptic ulcer patients had undergone surgery. When compared to previous study in 1985 in Kashmir, there was decrease in point prevalence of 25%, in life-time prevalence of 20.14%, Gastric outlet obstruction by 51.7%, ulcer perforation by 87%, surgery rate by 60% and bleeding by a marginal 2%. CONCLUSION: Prevalence of peptic ulcerand its complications (except bleeding) are showing downward trend in Kashmir over the last 20 years. JMS 2012;15(2):136-40

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Pedicled Falciform Ligament Flap repair in a Recurrent peptic ulcer perforation: case report and review of literature

International Journal of Medical Reviews and Case Reports ◽

10.5455/ijmrcr.pedicled-falciform-ligament-flap-repair ◽

2021 ◽

pp. 1

Author(s):

Deepak Rajput ◽

GMCV Bharadwaj ◽

Amit Gupta ◽

Shashank Kumar ◽

Ankit Rai ◽

...

Keyword(s):

Peptic Ulcer ◽

Case Report ◽

Falciform Ligament ◽

Peptic Ulcer Perforation ◽

Review Of Literature ◽

Ulcer Perforation ◽

Flap Repair

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Peptic Ulcer Perforation in a Child: Case Report

Journal of Academic Emergency Medicine ◽

10.5152/jaem.2011.041 ◽

2011 ◽

Author(s):

Turan Yildiz ◽

Mustafa Ates ◽

Erol Karaaslan

Keyword(s):

Peptic Ulcer ◽

Case Report ◽

Peptic Ulcer Perforation ◽

Ulcer Perforation

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Ultrasound diagnosis of peptic ulcer perforation - a case report

Medicinski pregled ◽

10.2298/mpns2004112p ◽

2020 ◽

Vol 73 (3-4) ◽

pp. 112-115

Author(s):

Danka Petrovic ◽

Predrag Petrovic ◽

Natasa Prvulovic-Bunovic

Keyword(s):

Peptic Ulcer ◽

Case Report ◽

Surgical Treatment ◽

Free Fluid ◽

Peptic Ulcer Perforation ◽

Diagnostic Modality ◽

Ulcer Perforation ◽

Clinical Center ◽

Patient Reported ◽

Threatening Condition

Introduction. Peptic ulcer perforation is an urgent, life-threatening condition that requires prompt diagnosis and emergency surgical treatment. It is a focal defect of the pylorobulbar zone that affects all the layers and allows intraluminal content to leak into the peritoneal/retroperitoneal cavity. The aim of this study is point to ultrasonography as a good diagnostic modality in identifying peptic ulcer perforation when it is clinically unrecognized. Case Report. We report a case of a 36-year-old man who came to the Emergency Center of the Clinical Center of Vojvodina complaining of a sudden severe pain in the entire abdomen. The patient reported previous dyspeptic symptoms. Emergency transabdominal ultrasonography was perfomed, and a peptic ulcer perforation was suspected. It significantly shortened the time to urgent surgical treatment and the diagnosis was confirmed. Conclusion. Pneumoperitoneum, collection of extraluminal free fluid with gas bubbles around the lesion, inflammatory thickening and discontinuity of the pylorobulbar wall, with or without focal hyperechogenic line (perforation zone) are ultrasound findings suggestive of peptic ulcer perforation.

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Massive gastric dilation caused by gastric outlet obstruction in the setting of peptic ulcer disease—A case report

International Journal of Surgery Case Reports ◽

10.1016/j.ijscr.2020.04.015 ◽

2020 ◽

Vol 70 ◽

pp. 64-67

Author(s):

C.S. Costa ◽

N. Pratas ◽

H. Capote

Keyword(s):

Peptic Ulcer ◽

Case Report ◽

Peptic Ulcer Disease ◽

Gastric Outlet Obstruction ◽

Outlet Obstruction ◽

Ulcer Disease

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Recurrent Peptic Ulcer Perforation: A Case Report

International Journal of Innovative Research in Medical Science ◽

10.23958/ijirms/vol07-i01/1329 ◽

2022 ◽

Vol 7 (01) ◽

pp. 62-65

Author(s):

Maather Al Abri, MD ◽

Ghaitha Al Mahruqi, MD ◽

Hani Al Qadhi, FRCSC

Keyword(s):

Duodenal Ulcer ◽

Peptic Ulcer ◽

Case Report ◽

Surgical Treatment ◽

Surgical Intervention ◽

Peptic Ulcer Perforation ◽

Perforated Duodenal Ulcer ◽

Peptic Ulcers ◽

Ulcer Perforation

Background: Refractory peptic ulcers are ulcers in the stomach or duodenum that do not heal after eight to twelve weeks of medical/surgical treatment or those that are associated with complications despite medical tssreatment. We herein present a case of a 44 year old man with a recurrent perforated duodenal ulcer requiring emergent surgical intervention.

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Antral mucosal diaphragm as a misdiagnosed cause of gastric outlet obstruction: case report and review of the literature

Revista de Medicina ◽

10.11606/issn.1679-9836.v94i1p15-20 ◽

2015 ◽

Vol 94 (1) ◽

pp. 15

Author(s):

Marcela Del Carlo Bernardi ◽

Ernesto Sasaki Imakuma ◽

Anna Carolina Bastista Dantas ◽

Alyne Korukian Freiberg ◽

Fabio Pinatel Lopasso ◽

...

Keyword(s):

Peptic Ulcer ◽

Case Report ◽

Pyloric Stenosis ◽

Gastric Outlet Obstruction ◽

Outlet Obstruction ◽

Illustrative Case ◽

X Ray ◽

Ulcer Surgery ◽

Antral Web ◽

Upper Gastrointestinal

The antral web is a thin septum with an aperture varying from 2 to 30 mm usually discovered in middle or late life because of associated gastric outlet obstruction or peptic ulcer. It is commonly mistaken for a pyloric obstruction. Since surgical excision of the antral diaphragm can cure patient’s symptoms, a correct diagnosis is important for not delaying treatment. However, the diagnosis is difficult even after adequate investigation with barium upper gastrointestinal x-ray series or endoscopy. Therefore, the present study seek to notify this pathology as a possible cause of gastric outlet obstruction providing an illustrative case report and review the pertinent literature. Case Report: A 56 years old man presented complaint of pyrosis, epigastric fullness after eating and loss of weight for over three years. His past clinical history revealed a perforated peptic ulcer surgery three years ago. Investigation was initially performed with barium upper gastrointestinal x-ray which suggested pyloric stenosis secondary to the previous surgery. Gastric endoscopy identified a mucous tunnel formation with a 10 mm diameter aperture in the pre-pyloric region. The patient was also submitted to a computerized tomography (CT) of the abdomen and pelvis for surgical planning for correction of pyloric stenosis and demonstrated an apparently thickening of the gastric wall and reduction of the diameter of the antropyloric region. The patient was then submitted to lapartomy with resection of the antral web. After 6 months, the patient is asymptomatic.

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