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A 62-year-old woman was hospitalized with septic shock caused by osteomyelitis and cellulitis in her lower jaw.
After treatment including tooth extraction and antibiotics, her condition improved but she later experienced hemorrhagic shock due to a large tarry stool.
An emergency EGD revealed a serious stomach ulcer that had penetrated the pancreas, but she was treated conservatively and made a full recovery within days.
Article Abstract
A 62-year-old woman was admitted to our hospital with septic shock due to left submandibular osteomyelitis and cellulitis. Her condition improved following tooth extraction, drainage, and the administration of antibiotics. However, on the 4th day of hospitalization, she went into hemorrhagic shock after defecating a massive tarry stool. Emergency esophagogastroduodenoscopy (EGD) was performed. We found a giant ulcer at the antral greater curvature of the stomach. Computed tomography (CT) revealed that the gastric ulcer had penetrated the pancreas. She had no signs of peritonitis and had a bad general condition. She was therefore managed solely by conservative therapy. She recovered within days.
