Giant duodenal ulcers (GDUs) are full-thickness disruptions of the gastrointestinal epithelium greater than 3cm in diameter. The significant size and disease chronicity lead to deleterious outcomes and high mortality risk if ulcer progression is not halted. While still prevalent in developing countries, GDUs are increasingly rare in industrialized nations. Here, we present the case of an 82-year-old woman with perforated GDU requiring emergent surgical intervention complicated by prior duodenal surgery requiring a previously unreported triple-layered omental patch. Discussion of this technique and novel approaches to GDU repair ensue.
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http://dx.doi.org/10.7759/cureus.12198 | DOI Listing |
Int J Surg Case Rep
December 2024
Department of Surgery, Debre Tabor University, Debre Tabor, Ethiopia. Electronic address:
Introduction And Importance: Duodenal perforation, while uncommon, is a serious cause of acute abdomen in children. The causes of acute abdomen in children vary widely based on factors like geography and socioeconomic status. In developing countries, where infectious diseases are more prevalent, malaria can contribute to this condition.
View Article and Find Full Text PDFAm J Case Rep
December 2024
Department of Visceral Surgery, Hospital of the Canton of St. Gallen, St. Gallen, Switzerland.
BACKGROUND Brunneromas are among the rarest benign tumors of the upper gastrointestinal tract. They arise from the Brunner's glands and patients have a good prognosis if treated timely and radically. Because symptoms are rare, their diagnosis can be challenging, especially regarding the smaller ones.
View Article and Find Full Text PDFMedicine (Baltimore)
October 2024
Department of Hepatobiliary Surgery, the Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, China.
Cureus
October 2024
Emergency, Public Health Institution Dom Zdravlja Prijedor, Prijedor, BIH.
Gastrointestinal stromal tumors (GISTs) are rare neoplasms affecting the gastrointestinal (GI) tract, primarily in middle-aged and elderly individuals. Originating from interstitial cells of Cajal (ICC), they can develop anywhere in the GI tract, with varying symptoms. Diagnosis involves imaging and tissue acquisition, with surgical excision and tyrosine kinase inhibitors as treatment options.
View Article and Find Full Text PDFZhonghua Nei Ke Za Zhi
October 2024
Department of Interventional and Minimally Invasive Oncology Therapy, the Second Hospital of Shandong University, Qilu Medical College, Shandong University, Jinan 250033, China.
To evaluate the safety and efficacy of percutaneous transhepatic papillary balloon dilation (PTPBD) combined with flexible ureteroscopy-guided dual-frequency double-pulse ND:YAG (FREDDY) laser lithotripsy (PTPBD-FREDDY) for the treatment of giant (>1.5 cm diameter) common bile duct stones. A retrospective analysis was conducted on 26 patients with large-diameter difficult choledocholithiasis admitted to two medical centers from December 2017 to October 2021.
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