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...

In the emergency treatment of a perforated duodenal ulcer (DU), after surgical closure of the perforation and treatment of the secondary peritonitis, higly selective vagotomy(HSV) is a valid therapy to prevent recurrence of the underlying disease.

Blunt abdominal traumas are uncommonly encountered despite their high prevalence, and injuries to the organ like duodenum are relatively uncommon (occurring in only 3%-5% of abdominal injuries) because of its retroperitoneal location. Duodenal injury combined with gastric perforation from a single abdominal trauma impact is rarely heard. The aim of this case report is to present a rare case 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...

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.

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...

Esophageal perforation is the fastest progressing and the most life-threatening disruption of gastrointestinal tract continuity. It must be regarded as an emergency condition that requires early diagnosis as well as very aggressive and rapid implementation of treatment in order to avoid serious complications and death. Methods of treatment for spontaneous esophageal perforation continue to be a...

The use of the terms 'acute' and 'chronic' when describing perforated duodenal ulcers has sometimes produced confusion. It is obviously incorrect to speak of an 'acute perforation' because all perforations are acute although some may be small and therefore leak slowly. On the other hand, it is established that both acute and chronic ulcers perforate, although it may appear to be of academic int...

Abstract Duodenal perforations are a surgical emergency with high mortality. Most require open or laparoscopic repair, whereby the ulcer is oversewn, sometimes using Graham patch. However, surgery not without complications. We report case of 70-year-old man chronic, perforated duodenal that was repaired endoscopically. The patient presented 1-month history epigastric abdominal pain, exacerbated...

INTRODUCTION The duodenum is the second seat of onset of diverticula after the colon. Duodenal diverticulosis is usually asymptomatic, but duodenal perforation with abscess may occur. CASE PRESENTATION Woman, 83 years old, emergency hospitalised for generalized abdominal pain. On the abdominal tomography in the third portion of the duodenum a herniation and a concomitant full-thickness breach...