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Acute duodenal ulcer with perforation
Acute duodenal ulcer with perforation
by Alike Medical Team ∙ Updated on June 13, 2023
General
Perforation of a duodenal ulcer causes gastric and duodenal contents to accumulate in the peritoneal cavity, with a resulting initial chemical peritonitis. Leakage of gastroduodenal contents can also lead to bacterial infection of the peritoneal cavity, due to bacteria and undigested food in the peritoneal cavity.
2 people with Acute duodenal ulcer with perforation
Learn from others who are experiencing Acute duodenal ulcer with perforation.
Signs & symptoms
Sudden onset of epigastric pain, Generalized pain, occasionally, in the right lower quadrant, Hypotension, High fever in case of an infection or inflammation in peritoneal cavity.
Diagnosis
In physical examination, the patient shows signs of epigastric pain and generalized abdominal pain, and abdomen rigidity. Chest X Ray free air can be seen in about 80% of cases. Gastroduodenogram will show the leak from the duodenum or its sealing.
Treatment
The traditional management of a perforated duodenal ulcer is a laparoscopic surgery. In approximately 40–50% of cases the ulcer self-seals - without any specific treatment.
Note
☝ We provide information on prescription and over-the-counter medicines, diagnosis, procedures and lab tests. This material is provided for educational purposes only and is not medical advice, diagnosis or treatment.
National Institutes of Health ∙ World Health Organization ∙ MedlinePluse ∙ Centers for Disease Control and Prevention
☝ All information has been reviewed by certified physicians from Alike
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