INTRODUCTION Peptic ulcer disease is still the major cause of gastrointestinal perforation despite major improvements in both diagnostic and therapeutic strategies. While the diagnosis of a perforated ulcer is straightforward in typical cases, its clinical onset may be subtle because of comorbidities and/or concurrent therapies. CASE PRESENTATION We report the case of a 53-year-old Caucasian ...

Thyroid storm is a rare and life-threatening complication of thyrotoxicosis that requires prompt treatment. Thyroid storm is also known to be associated with precipitating events. The simultaneous treatment of thyroid storm and its precipitant, when they are recognized, in a patient is recommended; otherwise such disorders, including thyroid storm, can exacerbate each other. Here we report the ...

Acute perforation is a grave complication of duodenal ulcer and its surgical treatment is one of the greatest urgency. The following case has so many unusual features that it seems worthy of record :? Mrs. K. B., aged 16, was admitted under my care with an ' acute abdomen \ History of present illness.?Just over two days ago, the patient complained of a sudden attack of severe pain over the pit ...

BACKGROUND Peptic ulcer perforation is a common cause of emergency admission and surgery. This is the first study that documents the presentation and outcome of management in Irrua, Nigeria. PATIENTS AND METHOD This is a prospective study of all patients operated on for perforated peptic ulcer between April 1, 2010, and March 31, 2015. A structured questionnaire containing patients' demograph...

Seventy-three unselected patients with perforated duodenal ulcer were treated by vagotomy and pyloroplasty in a six-year period. Postoperative complications were commoner when the operation was carried out after more than six hours after perforation. The follow-up results were similar to those for elective vagotomy and pyloroplasty carried out in the hospital during the past nine years.

Perforated gastric ulcer is one of the most life-threatening complications of peptic ulcer disease with high morbidity and mortality rates. The surgical strategy for gastric perforation in contrast with duodenal perforations often requires consilium and intraoperative debates. The subject of the debate is a 59-year-old male patient who presented with perforated giant gastric ulcer complicated b...

The population incidence of perforated gastric and duodenal ulcer has been the subject of several studies (Illingworth, Scott, and Jamieson, 1944; Jamieson, 1955; Pulvertaft, 1959; Weir, 1960). Although some concerned 'peptic ulcer' incidence it is clear that gastric and duodenal ulcer perforation rates should be considered separately because the incidence of the two lesions differs (Jennings, ...

Perforated gastroduodenal ulcer was studied in 1483 patients in the Bergen area during the years 1935-90 to discover time trends in age and sex, disease characteristics, treatment, and outcome. The male:female ratio feli from 10:1 to 1*5:1, median age increased from 41 to 62 years. Most perforations were found in the duodenum in 1935-64, and in the pyloric and praepyloric area in 1965-90. There...

OBJECTIVE Peptic ulcer disease in children is rare. Therefore, the diagnosis can be missed until complications such as perforation or hemorrhage occur. Few reports have investigated the procedures and outcomes of children who have undergone operations for perforated duodenal ulcers. We report our experience with the modified Graham technique for perforated duodenal ulcers in nine children and r...

Perforations of peptic ulcers account for between 5 % and 8% of abdominal conditions submitted to urgent laparotomy. The general practitioner may see less than one case a year even though in an average-sized practice he has many patients with peptic ulcers. This relative rarity of the complication of perforation in the experience of the individual practitioner does not often lead to difficulty ...