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DOI: 10.1055/s-0041-1725158
Complicated Ventral Hernia: A Perquisite for Perforated Peptic Ulcer—Unusual Clinical Scenario
Abstract
Introduction Peptic ulcer usually presents to the emergency in the form of an acute abdomen, which is usually diagnosed easily either clinically or radiologically. Although its incidence has decreased with the introduction on proton pump inhibitors it is still one of the most common emergencies encountered by a surgeon.
Case Presentation A 60-year-old woman complained of epigastric swelling for 6 months which gradually increased and became irreducible over the last 2 months. The patient also complained of pain associated with vomiting. Radiological investigations revealed a epigastric hernia with omentum and stomach as content along with fluid collection in the right perihepatic region, with tiny air foci. The patient was explored for the same.
Discussion Perforated peptic ulcer is a serious complication and carries high risk of morbidity and mortality. Early diagnosis with immediate resuscitation and surgical intervention is essential to improve outcomes. This is a rare case of perforated gastric ulcer which was masked under the complicated ventral hernia.
Keywords
peptic ulcer - gastric ulcer perforation - irreducible ventral hernia - Graham's patch techniqueStatement of Ethics
Written informed consent was obtained from the patient for the publication of clinical information.
Publication History
Received: 03 March 2020
Accepted: 23 December 2020
Article published online:
25 May 2021
© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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References
- 1 Baron JH. Paintress, princess and physician's paramour: poison or perforation?. J R Soc Med 1998; 91 (04) 213-216
- 2 Baron JH. Peptic ulcer. Mt Sinai J Med 2000; 67 (01) 58-62
- 3 Baron JH, Sonnenberg A. Publications on peptic ulcer in Britain, France, Germany and the US. Eur J Gastroenterol Hepatol 2002; 14 (07) 711-715
- 4 Rayner HH. Treatment of perforated peptic ulcer. Lancet 1930; ii: 107-108
- 5 Sangster AH. Perforated peptic ulcer: an analysis of 100 consecutive cases. Lancet 1939; 23: 1311-1313
- 6 Berson HL. Acute perforated peptic ulcers: an eighteen-year survey. Am J Surg 1942; 16: 385-394
- 7 Hastings N, MacHida R. Perforated peptic ulcer: results after simple surgical closure. Am J Surg 1961; 102 (02) 136-142