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| http://dx.doi.org/10.1097/00000658-196204000-00012 | DOI Listing |
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Two Cases of Colonic Perforation Following Upper Gastrointestinal Barium Examinations.
Cureus
December 2024
Department of Surgery, Kitakyushu City Yahata Hospital, Kitakyushu, JPN.
Article Synopsis
- The report discusses two cases of colonic perforation that happened after an upper gastrointestinal series (UGIS) using barium, highlighting both its benefits for detecting gastric issues and its rare but serious risks.
- It outlines the mechanisms behind perforation, identifies risk factors, and reviews imaging diagnosis challenges along with treatment options like Hartmann's procedure or colostomy, underscoring the importance of prompt diagnosis and surgical action.
- The findings suggest that while UGIS is generally safe, awareness of its potential dangers is crucial, and advancements in endoscopic techniques may lead to a shift towards endoscopy as a preferred screening method in the future.
Etiologies and Outcomes Following Duodenal Perforation in Acute Peritonitis: A Systematic Review.
Cureus
November 2024
Community and Family Medicine, All India Institute of Medical Sciences, Gorakhpur, IND.
Duodenal perforation often presents as an acute onset of abdominal pain and potential complications such as systemic infection, multiple organ system failure, and even death. It can result from various causes, including peptic ulcer disease (PUD), trauma, malignancies, and infections. Prompt diagnosis and timely intervention are critical for better outcomes, though mortality can be high, particularly in delayed cases.
View Article and Find Full Text PDFSmall Bowel Obstruction as a Complication of Acute Pancreatitis.
Cureus
November 2024
Accident and Emergency, Pilgrim Hospital, United Lincolnshire Hospitals Trust, Boston, GBR.
Epigastric pain and vomiting are common presentations associated with various causes of acute abdomen. Acute abdomen encompasses a range of different pathologies, with epigastric pain narrowing the differential diagnosis to conditions such as pancreatitis, bowel obstruction, acute cholecystitis, gastritis, acute coronary syndrome (ACS), and peptic ulcer disease, such as gastric ulcers and duodenal ulcers with/without perforation. This is a case of a male patient in his 80s who came to the emergency department with symptoms of generalized abdominal pain, vomiting, and constipation.
View Article and Find Full Text PDFValentino's Syndrome in the Era of Advanced Imaging and Minimally Invasive Surgery.
Cureus
November 2024
General Surgery, Unidade Local de Saúde de São José, Lisbon, PRT.
Valentino's syndrome is a rare but potentially lethal differential diagnosis for acute appendicitis. We herein present the case of a 22-year-old male patient who presented to the emergency department with acute abdominal pain. Clinical suspicion of acute appendicitis was corroborated by analytical and imaging findings.
View Article and Find Full Text PDFSimultaneous triple peptic perforations: a report of an extremely rare case.
J Surg Case Rep
January 2025
Faculty of Medicine, Can Tho University of Medicine and Pharmacy, 179 Nguyen Van Cu Street, An Khanh Ward, Ninh Kieu District, Can Tho 900000, Vietnam.
Peptic ulcer perforations are common in surgical emergencies, whereas double perforations are rare, and triple peptic perforations are even exceedingly rare, with only a few cases documented. While undetected perforation during surgery can be fatal, the absence of standardized procedures for managing multiple perforations remains an ongoing challenge for surgeons. Herein, we describe a rare case of simultaneous triple peptic perforations in an elderly man with a prolonged history of analgesic and corticosteroid use.
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