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Simultaneous 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.
View Article and Find Full Text PDFMinimally invasive video-assisted trans-diaphragmatic drainage of a subphrenic complicated abscess.
Ulus Travma Acil Cerrahi Derg
September 2024
Department of General Surgery, Koru Hospital, Ankara-Türkiye.
Article Synopsis
- The most common locations for these abscesses are the subphrenic and subhepatic areas, requiring treatments like percutaneous or surgical drainage.
- This report discusses a new, less invasive technique called minimally invasive video-assisted trans-diaphragmatic drainage (MIVTD), successfully applied to a patient with a complicated abscess after peptic ulcer surgery.
[Laparoscopic repair for perforated ulcer].
Khirurgiia (Mosk)
August 2024
Ryazan State Medical University, Ryazan, Russia.
Objective: To improve the immediate postoperative results in patients with perforated ulcers.
Material And Methods: The study enrolled 25 patients with perforated peptic ulcer (diameter of perforation <8 mm). Mean age of patients was 39 years (range 24-56), perforation size - 5.
Simple severity scale for perforated peptic ulcer with generalized peritonitis: a derivation and internal validation study.
Int J Surg
November 2024
Department of Emergency and Critical Care Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku.
Article Synopsis
- A study was conducted to create a severity scale for perforated peptic ulcers (PPU) with generalized peritonitis to help guide surgical decisions based on patient risk.
- Researchers analyzed a large database of patients who underwent surgery for PPU from 2013 to 2020, identifying key predictors of severe postoperative complications.
- The final scoring system ranged from 0-11 with a cutoff of 5 suggesting minimal risk of complications, requiring further validation for clinical use.
Predicting Helicobacter pylori infection from endoscopic features.
Korean J Intern Med
May 2024
Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Background: Helicobacter pylori infection, prevalent in more than half of the global population, is associated with various gastrointestinal diseases, including peptic ulcers and gastric cancer. The effectiveness of early diagnosis and treatment in preventing gastric cancer highlights the need for improved diagnostic methods. This study aimed to develop a simple scoring system based on endoscopic findings to predict H.
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