Perforated gastric ulcer
Updates to Study Attributes
Updates to Case Attributes
Perforated prepyloric peptic ulcer in a patient who had had a duodenal ulcer twice before.
At surgery, there were many tough adhesions between the liver and abdominal wall, between the stomach and the liver and gallbladder, and between loops of small bowel and colon. 1800 ml of free intraperitoneal bilious fluid were evacuated, after which liver was separated from the abdominal wall and the stomach was separated from the liver and gallbladder. A ~2 x 3 cm perforation in the lesser gastric curvature was discovered, from which bilious content was exuding. Release of colonic and small bowel adhesions. When a good approach to the perforation was attained, it was sewn and the stomach was filled with methylene blue - no leak. After the stomach emptied, omentopexy was performed.
The patient recovered well.
-<p>Perforated prepyloric <a title="Peptic ulcer disease" href="/articles/peptic-ulcer-disease">peptic ulcer</a> in a patient who had had a duodenal ulcer twice before.</p><p>At surgery, there were many tough <a title="Abdominal adhesions" href="/articles/abdominal-adhesions">adhesions</a> between the liver and abdominal wall, between the stomach and the liver and gallbladder, and between loops of small bowel and colon. 1800 ml of free intraperitoneal bilious fluid were evacuated, after which liver was separated from the abdominal wall and the stomach was separated from the liver and gallbladder. A ~2 x 3 cm perforation in the lesser gastric curvature was discovered, from which bilious content was exuding. Release of colonic and small bowel adhesions. When a good approach to the perforation was attained, it was sewn and the stomach was filled with methylene blue - no leak. After the stomach emptied, omentopexy was performed.</p><p>The patient recovered well.</p><p> </p><p> </p>- +<p>Perforated prepyloric <a href="/articles/peptic-ulcer-disease">peptic ulcer</a> in a patient who had had a duodenal ulcer twice before.</p><p>At surgery, there were many tough <a href="/articles/abdominal-adhesions">adhesions</a> between the liver and abdominal wall, between the stomach and the liver and gallbladder, and between loops of small bowel and colon. 1800 ml of free intraperitoneal bilious fluid were evacuated, after which liver was separated from the abdominal wall and the stomach was separated from the liver and gallbladder. A ~2 x 3 cm perforation in the lesser gastric curvature was discovered, from which bilious content was exuding. Release of colonic and small bowel adhesions. When a good approach to the perforation was attained, it was sewn and the stomach was filled with methylene blue - no leak. After the stomach emptied, omentopexy was performed.</p><p>The patient recovered well.</p><p> </p><p> </p>
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