Peritonitis after Peptic Ulcer and Appendicitis Wound Simultaneous Perforation: A Case Report
M. Etezadpour [1], S. H. Seyed Sharifi[2]
Received: 25/06/2019 Sent for Revision: 30/07/2019 Received Revised Manuscript: 24/08/2019 Accepted: 01/10/2019
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 a
ppendicitis 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]
[1]- Assistant Prof., Endoscopic and Minimally Invasive Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran ORCID: 0000-0003-2150-4649
(Corresponding Author) TEL: (51) 38012841, Fax:
(51) 38402972, E-mail:
Etezadpourm3@mums.ac.ir
[2]- Resident of General Surgery, Endoscopic and Minimally Invasive Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran, ORCID: 0000-0002-8725-7006