Volume 18, Issue 7 (9-2019)
JRUMS 2019, 18(7): 729-738 |
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Etezadpour M, Seyedsharifi S. Peritonitis after Peptic Ulcer and Appendicitis Wound Simultaneous Perforation: A Case Report. JRUMS 2019; 18 (7) :729-738
URL: http://journal.rums.ac.ir/article-1-4755-en.html
URL: http://journal.rums.ac.ir/article-1-4755-en.html
Endoscopic and Minimally Invasive Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Abstract: (2242 Views)
Background and Objectives: Peritonitis is one of the most important emergency abdominal surgeries which mostly occurs due to intra-abdominal visceral perforation.
Case Presentation: The patient was a 54-year-old man referred to the emergency department for abdominal pain and inability in passing gas and defecation. In physical examination, there was a generalized tenderness with guarding; in the image, pneumoperitoneum and in the laboratory test, leukocytosis with left shift. The patient had a perforated peptic ulcer and also perforated appendicitis which underwent the emergent laparotomy. He was treated by the appendectomy. The patient was discharged after 5 days with a good general condition after taking the drug with the Helicobacter pylori and normal regimen; and in the follow-up of the patient in the clinic, the patient was good.
Conclusion: In people who refer with generalized abdominal pain and undergo laparotomy while in the initial examination, an early pathology is evident; it is recommended that other areas of the abdomen be investigated.
Key words: Perforated peptic ulcer, Appendicitis, Peritonitis
Funding: This research was funded by personal costs.
Conflict of interest: None declared.
Ethical [a1] approval: The Ethics Committee of Mashhad University of Medical Sciences approved the study.
How to cite this article: Etezadpour M, Seyed Sharifi S. H. Peritonitis after Peptic Ulcer and Appendicitis Wound Simultaneous Perforation: A Case Report. J Rafsanjan Univ Med Sci 2019; 18 (7): 729-38. [Farsi]
Case Presentation: The patient was a 54-year-old man referred to the emergency department for abdominal pain and inability in passing gas and defecation. In physical examination, there was a generalized tenderness with guarding; in the image, pneumoperitoneum and in the laboratory test, leukocytosis with left shift. The patient had a perforated peptic ulcer and also perforated appendicitis which underwent the emergent laparotomy. He was treated by the appendectomy. The patient was discharged after 5 days with a good general condition after taking the drug with the Helicobacter pylori and normal regimen; and in the follow-up of the patient in the clinic, the patient was good.
Conclusion: In people who refer with generalized abdominal pain and undergo laparotomy while in the initial examination, an early pathology is evident; it is recommended that other areas of the abdomen be investigated.
Key words: Perforated peptic ulcer, Appendicitis, Peritonitis
Funding: This research was funded by personal costs.
Conflict of interest: None declared.
Ethical [a1] approval: The Ethics Committee of Mashhad University of Medical Sciences approved the study.
How to cite this article: Etezadpour M, Seyed Sharifi S. H. Peritonitis after Peptic Ulcer and Appendicitis Wound Simultaneous Perforation: A Case Report. J Rafsanjan Univ Med Sci 2019; 18 (7): 729-38. [Farsi]
Type of Study: Case Report |
Subject:
Surgery
Received: 2019/05/9 | Accepted: 2019/10/1 | Published: 2019/09/19
Received: 2019/05/9 | Accepted: 2019/10/1 | Published: 2019/09/19
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