Previous studies have suggested that patients operated upon for duodenal ulcer who have a previous history of perforation or haemorrhage are particularly liable to haemorrhage after operation from a proved or probable stomal ulcer (Langman, 1965). The cause of this association is unknown but there is evidence that patients of blood group 0 are particularly prone to duodenal ulcer haemorrhage (L...

BACKGROUNDS the treatment of a perforated giant duodenal ulcer (GUDs) represents a formidable surgical challenge regarding the duodenal wall defect repair in severe peritonitis setting. A high incidence of dehiscence and hospital mortality (15-40%- has been reported with the majority of the techniques). We report a case of GUDs perforation successfully treated with a subtotal gastrectomy and a ...

Since Aird, Bentall, Mehigan, and Roberts (1954) convincingly demonstrated a high incidence of blood group 0 in duodenal ulcer subjects there have been a number of confirmatory studies carried out in different ethnic groups and populations (McConnell, 1966). Studies have also been undertaken to see if there is an especially strong association between blood group 0 and some particular category o...

The presence of pneumothorax, pneumomediastinum, or cervical subcutaneous emphysema due to perforated duodenal ulcer is a rare presentation. We report a 23-year-man who showed bilateral cervical subcutaneous emphysema, pneumomediastinum, and pneumothorax with no respiratory abnormality. He was found to have active duodenal ulcers, but no detectable pneumoperitoneum or duodenal leak. A sealed pe...

A retrospective analysis of 203 patients with duodenal ulcer revealed that age in both sexes ranged between 40-44 years and male to female ratio was 9 1. Thirty percent subjects gave history of smoking, tobacco chewing or use of naswar.* Main presenting symptoms were Epigastric pain with nausea/vomiting, 40% had haematemesis and 45% malena. Six percent had previous history of duodenal perforati...

Computed tomography (CT) has been regarded as the method of choice for detecting the presence, site and cause of gastrointestinal tract perforation. In addition to determining the presence of perforation, CT can also localise the perforation size and demonstrate direct and indirect findings relative to the perforation. In this case study, we report the CT results in a patient with perforated du...

One hundred and seventy cases of perforated duodenal ulcer have been followed up after eight to 10 years. Simple suture of the perforation is recommended. The decision to perform elective surgery is best made during the first two years after perforation rather than at the time of the emergency procedure.

introduction: cholestasis is impairment of normal bile excretion into the duodenum and classified as mechanical and non mechanical cholestasis. mechanical cholestasis presents with increase in bile duct diameter or obstruction in bile duct in an ercp. cholestasis leads to different complications. one of these complications is mucosal peptic erosion leading to gastrointestinal bleeding, perforat...

The prevalence of peptic ulcer disease in the general population of Kashmir, India, was determined by endoscopy in a randomly selected sample population of 2763 adults aged 15 years and above who were interviewed using a questionnaire. Of 239 persons with ulcer symptoms, 193 (80.7%) had an oesophagogastroduodenoscopy. A randomly selected 177 individuals from among the remaining population witho...