Bleeding from a proved or probable stomal ulcer at some time after an operation for peptic ulceration often seems to be preceded by haemorrhage from the original, usually duodenal, ulcer. This association has been noted in the past (Hurst and Stewart, 1929; Donaldson, Handy, and Papper, 1958), but satisfactory evidence in its favour is lacking. The case histories of patients admitted to the Cen...

BACKGROUND Duodenal ulcer perforations are a common surgical emergency, but literature is silent on the exact definition, incidence, management and complications of large perforations of duodenal ulcers. METHODS The case files of 162 patients who underwent emergency laparotomy for duodenal ulcer perforations over a period of three years (2001 - 2003) were retrospectively reviewed and sorted i...

Approximately, 10 to 20% of patients with peptic ulcer suffer a perforation of stomach or duodenum in which chemical peritonitis develop initially from gastric and duodenal secretion but in a few hours bacterial contamination superimpose the disease. The disease could be life-threatening, early diagnosis and treatment is extremely important. The mortality will increase up if perforation exists ...

OBJECTIVES To determine the epidemiology of, and define the morbidity and mortality factors following emergency surgery for patients with perforated peptic ulcer disease in Accra, Ghana. DESIGN A retrospective and prospective hospital-based study. SETTING The general and paediatric surgical wards of the Korle-Bu Teaching Hospital. MAIN OUTCOME MEASURES Demography, the systolic BP, pulse r...

We present a case of intramural duodenal haematoma caused by inferior vena caval (IVC) filter strut perforation requiring innovative open and endovascular retrieval. A 32-year-old woman presents in shock with dull epigastric pain and non-bilious vomiting. She had previously had an IVC filter for deep venous thrombosis and pulmonary embolism. Computed tomography demonstrated strut perforation in...

BACKGROUND The use of ulcerogenic drugs is the only well documented risk factor for peptic ulcer perforation, but accounts for only a quarter of the events. Smoking is a well known risk factor for uncomplicated ulcer disease, and patients with ulcer bleeding have increased death rates from smoking related disorders. AIM To assess the role of smoking in ulcer perforation. SUBJECTS A total of...

Laparoscopic closure of an acutely perforated duodenal ulcer is an alternative procedure to open surgery. With proper training and experience this procedure might overtake laparotomy and simple closure thereby reducing the post operative morbidity in terms of reduced wound pain, short hospital stay, likely reduced wound sepsis and hernia occurrence and post operative chest complications. This a...

Patients with duodenal ulcer perforation regularly undergo conversion to open surgical repair after the failure of laparoscopic closure [1]. We report the use of a novel endoloop device with a singlechannel gastroscope for the closure of a duodenal ulcer perforation after failed laparoscopic repair. A 76-year-old man underwent laparoscopic repair of a perforated duodenal bulb ulcer. However, he...

The following case of perforated duodenal ulcer in an infant is reported, not only on account of the raritv of the condition, but also because the symptoms and course presented differ somewhat from those in previouslv reported cases. Peptic ulcers are evidently not very rare in infants under one year of age, but onlv a few have been recorded in England. In Welch's1 collection of 6074 cases of p...