A Case of Duodenal Ulcer Perforation Combined with Scrub Typhus

Duodenal Perforation Precipitated by Scrub Typhus

Scrub typhus is an acute febrile illness usually presenting with fever, myalgia, headache, and a pathognomonic eschar. Severe infection may lead to multiple organ failure and death. Gastrointestinal tract involvement in the form of gastric mucosal erosions and ulcerations owing to vasculitis resulting in gastrointestinal bleeding is common. This process may worsen a pre-existent asymptomatic pe...

Does Ramadan Fasting Increase duodenal ulcer perforation?

Introduction: In Ramadan, healthy adult Muslims are obliged to fast. Prolonged fasting increase gastric acid and pepsin levels, which promote the risk of duodenal ulcer perforation (DUP). Effects of Ramadan fasting on DUP have not been thoroughly studied yet, and the limited number of studies investigating the impact of Ramadan fasting on DUP yielded discrepant results. This study aimed to eval...

A Case of Scrub Typhus

Scrub typhus-induced serious gastric ulcer bleeding.

A 67-year-old woman presented with melena and general weakness. Upper gastrointestinal (GI) endoscopy revealed multiple ulcers and projectile bleeding in the stomach. She also complained of a 10-day history of a fever and was diagnosed with scrub typhus based on a positive result of the eschar polymerase chain reaction (PCR) testing. She fully recovered with endoscopic hemostasis, and administr...

duodenal kissing ulcer (sealed anterior perforated duodenal ulcer combined with hemorrhagic posterior ulcer): report of a case

peptic ulcer disease and its complications have long been studied but the coexistence of two major complications in a kissing ulcer is uncommon. we present our experience with this entity and review the related literature. a 27 year old man was suffering from concomitant major complication of duodenal kissing ulcer, huge anterior perforation and uncontrolled posterior bleeding, presenting as he...