UNDIAGNOSED PERFORATION OF SILENT DUODENAL ULCER : A CASE REPORT WITH REVIEW
DOI:
https://doi.org/10.48165/Keywords:
Peptic ulcer, perforation, sudden death, chronic duodenal ulcer, peritonitis, perforated duodenal ulcerAbstract
This is a case report where one Malaysian Indian female in her early fifties died due to perforation of duodenal ulcer. She was apparently well before and had attended hospital for minor complaint of gastritis on the evening before her death. GIT perforation is an acute emergency, if diagnosis is missed then it adversely affect the life of the patient. The treatment of perforation and peritonitis is very time consuming and costly, and at times results in severe infection, peritonitis, adhesions, and shock. In some cases, even sudden death do occur in few hours after perforation. In this case, patient died within hour of acute symptoms due to shock. Fatality following peptic ulcer perforation usually takes variable time, which can range from few hours to many days or week.
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1. Kumar V, Abbas AK, Fuasto N .In: Robbins and Crotran.7th Ed, Elsevier Saunders, Philadelphia, 2005: 816-820.
2. Knight B. Simpson’s Forensic Medicine 11th Edition. Hodder Headline group. London. 1997: 105-12.
3. Sandler RS et al. The burden of selected digestive diseases in the United States. Gastroenterology 2002;122: 1500.
4. Alfred C, Robert JC, Steek A, Rahim M. In: Essential Surgical Practice, Vol1, Arnold, 4th edn. 2002: 282.
5. Kandaasami P, Harjit K, Hanafiah H. Clinical and endoscopic features of peptic ulcer bleeding in Malaysia. Med J Malaysia 2004; 59(5): 617-622.
123 Indian Internet Journal of Forensic Medicine & Toxicology
6. Leo D. Nannini. An analysis of Acute perforated ulcers commentary by Paul Smith. In: http://xnet.kp.org/permanentejournal/winter99pj/perspective.html . Accessed on 15/2/06 7. Mo KM, Craig GM, Clark JV, Champ C. Sudden death from perforation of benign esophageal ulcer into a major blood vessel. Postgrad Med J 1988 Sept; 64:687-89.
8. Peptic Ulcer. In. http://hoptechno.com/book35.htm . Accessed on 15/2/2006 9. Schwartz SJ, Shies GT , Spencer C Frank et al. In: Principles of Surgery, Vol I , McGraw Hill , 7 edn.,1999:1194-1195.
10. Berney T , Badaour E, Totsch M , Mentha G , Morel P. Duodenal tunerculosis presenting as acute ulcer perforation. Am J Gastroenterology 1998; 93(10):1989
11. Arnaud JP, TuechJJ, RobertoB , Pessaux P , Nicolas R. Laparoscopic suture of perforated Duodenal Ulcer. Surgical Laparoscopic, Endoscopy Percutaneous Techniques 2002;12(3)145- 147.
12. Chowdhary SK , Bhasin DK , Panigrahi D, Malik AK , Kataria RN , Behra A , Roy P , Singh K. Helicobacter pylori infection in patients with perforated duodenal ulcer. Trop Gastroenterol 1998;19(1):19-21.
13. Boey J ,Wong J. Perforated Duodenal Ulcers. World J Sugery1987;11(3):1432-2323. 14. Gupta S, Kaushik R, Sharma R, Attri A. The management of large perforations of duodenal ulcers. BMC Surgery 2005;5:15. Accessed on http://www.biomedcentral.com/1471-2482/5/15 on 16/2/2006.
15. Pounder R. Silent peptic ulceration : deadly silence or golden silence? Gastroenterology1996; (2):626-31.
16. Ellen CE , Ruggiero FM , Seibold JR. Intestinal perforation( A common complication of scleroderma). Digestive Diseases Sci 1997;42(3):549-553.
17. Semenove VV , Sipratov, Zinov’sev SV. Results of the surgical treatment of perforated ulcer of the stomach and duodenum. Khirurgiia (Mosk) 1989;Oct;(10): 94-8.
18. Ganguly Mukherjee G, Soonawala R, Tank DK. In: Medico-legal Aspects in Obstetrics and Gynaecology , 1st ed. Jaypee Brothers ,New Delhi , 1997:24.
