scholarly journals Large posterior perforation of duodenal ulcer: A rare surgical emergency

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Faris Alaswad

A 20-year-old man was admitted with a complaint of a constant dull aching pain in the epigastrium and back for five days, with subsequent worsening and generalization of the pain. Clinically the abdomen was tender all over with board-like rigidity. Chest radiography revealed pneumoperitoneum, and a decision was made to explore the patient. During laparotomy, we found a peritoneal collection with no perforation in the anterior surface of the stomach, duodenum, or the entire gastrointestinal tract. After opening the lesser sac, we found a large perforation of the posterior wall of the duodenum. After direct repair with stitching through duodenotomy and duodenoplasty also done, the patient recovered and was discharged after 14 days. Posterior perforation of a duodenum ulcer is a very rare condition.  

2019 ◽  
Vol 7 (7) ◽  
pp. 897-907 ◽  
Author(s):  
FER Vuik ◽  
J Dicksved ◽  
SY Lam ◽  
GM Fuhler ◽  
LJW Laan ◽  
...  

Author(s):  
Snigdha Elaprolu ◽  
Gowri Sankar Marimuthu ◽  
Raghul Sekar ◽  
Sunil Kumar Saxena

<p class="abstract">Unusual foreign bodies in the digestive tract are common in psychiatric patients and children requiring screening of the entire gastrointestinal tract. We here report two cases of unusual ingested blunt foreign body in the upper digestive tract managed differently.</p>


2003 ◽  
Vol 2 (4) ◽  
pp. 72-79
Author(s):  
V. F. Kiritchuk ◽  
V. Yu. Shirokov

The aim of investigation is to study blood rheological properties in patients with chronic generalised periodontitis combined with gastrointestinal tract disturbances. 205 patients have been examined including those with erosive ulcerous involvement of gastroduodenal area — 51, with stomach ulcer and duodenal ulcer — 62, with chronic colitis — 39, with nonspecific ulcer colitis — 53. Blood viscosity properties, indices of erythrocyte aggregation and deformability, rate of oxygen delivery to tissues have been evaluated by rotary viscometer АBR-2 (Russia). It has been revealed that blood rheological properties in patients with chronic generalised periodontitis combined with gastrointestinal tract disturbances had been disturbed, that was accompanied with the blood viscosity rise, erythrocyte aggregation increase and with the decrease of deformability and rate of oxygen delivery to tissues. The degree of violations in blood rheology indices was mostly expressed under chronic and plural erosions of gastroduodenal area, duodenal ulcer and severe course of chronic nonspecific ulcer colitis.


2010 ◽  
Vol 76 (15) ◽  
pp. 5278-5281 ◽  
Author(s):  
James E. Keen ◽  
William W. Laegreid ◽  
Carol G. Chitko-McKown ◽  
Lisa M. Durso ◽  
James L. Bono

ABSTRACT Shiga-toxigenic Escherichia coli (STEC) O157 occurrence was determined along the entire gastrointestinal tract (GIT) of each of four naturally shedding cattle and at three sites in 61 slaughter cattle. STEC O157 was distributed along the entire GIT, though interanimal distribution was variable. Neither feces nor rectoanal-junction samples accurately predicted the STEC O157-negative status of any particular animal.


2019 ◽  
Vol 3 (3) ◽  
Author(s):  
Junichi Ooka ◽  
Kensuke Matsumoto ◽  
Morihiko Kondo ◽  
Toshiyuki Otomo

Abstract Background Calcification of the left atrium (LA) is a rare condition and can be the result of long-standing rheumatic mitral stenosis or an unusual complication after mitral valve replacement. Cases of massive LA calcification have sometimes been referred to as those with ‘coconut LA’ or ‘porcelain LA’. Case summary A 75-year-old woman was referred to our hospital because of chest discomfort and exertional dyspnoea. Doppler echocardiography revealed the presence of elevated filling pressure with significant LA dysfunction. A cardiac catheter examination revealed a quite impressive pulmonary capillary wedge pressure waveform with a steep up-slope and prominent v wave of 43 mmHg (mean: 15 mmHg). Multidetector row computed tomography revealed that LA was sandwiched by dense calcifications along the roof and bottom of the LA, and the posterior wall was compressed by a vertebral body. Integration of these functional and anatomical findings ultimately led to the diagnosis of ‘stiff LA syndrome’. Discussion She had a history of tuberculosis but no history of rheumatic fever or cardiac surgery. Thus, it appeared that the tuberculous pericarditis might have led to the calcified LA by long lasting inflammation. In this case, the LA was encased by a dense calcification and compressed by vertebral body from the posterior direction. Therefore, we speculated that the LA pressure could easily elevate even with a slight haemodynamic load in this special case, and thus eventually resulting in decompensated heart failure.


1982 ◽  
Vol 4 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Timothy G. Harper ◽  
H. V. Sperling ◽  
R. E. Easier

2014 ◽  
Vol 41 (5) ◽  
pp. 533-536 ◽  
Author(s):  
Todd Goldman ◽  
Kathi Adamson ◽  
Eugene Yang

Carcinoid tumors are rare neuroendocrine malignancies that typically originate from the gastrointestinal tract. Patients who are diagnosed with carcinoid heart disease generally have poor prognoses because of advanced metastases during staging and few therapeutic options. We present the case of a 61-year-old woman with right-sided heart failure, secondary to carcinoid heart disease caused by a primary ovarian carcinoid tumor. After undergoing surgical resection of the left ovary and fallopian tube, the patient experienced complete resolution of her heart failure symptoms. In addition to the patient's case, we discuss the diagnosis, nature, and treatment of this rare condition.


1996 ◽  
Vol 10 (3) ◽  
pp. 144-148
Author(s):  
Hugh James Freeman

A74-year-old male with a history of a tonsillar lymphoma developed diarrhea. Investigations led to detection of extensive intestinal lymphomatous polyposis (mantle cell lymphoma). After an aggressive clinical course with associated nodal and peripheral blood involvement, death followed within three months. Postmortem studies revealed widespread dissemination within the entire gastrointestinal tract, including the esophagus, stomach, and small and large intestines. Although this type of lymphoma is rare and accounts for only about 1% to 8% of all forms of primary B cell gastrointestinal lymphomas in North America, separation from other subtypes has become more important because of reported responses of mucosa-associated lymphoid tissue-lymphomas to antibiotics aimed atHelicobacter pylorieradication.


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