Exsanguinated to death by a perforated duodenal ulcer: Masquerader apprehended on autopsy
Gastroduodenal perforation commonly due to spontaneous perforation of a pre-existing peptic ulcer is a surgical emergency. On laparotomy, approximately 60%–70% perforations are duodenal and 15%–20% gastric. The most prevalent etiology are Helicobacter pylori infection in 65%–70% and non-steroidal an...
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2024-04-01
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Series: | Indian Journal of Pathology and Microbiology |
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Online Access: | https://journals.lww.com/10.4103/ijpm.ijpm_129_22 |
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author | Priyanka Mishra Nidhin Rehman Suvradeep Mitra Manoj G. Madakshira |
author_facet | Priyanka Mishra Nidhin Rehman Suvradeep Mitra Manoj G. Madakshira |
author_sort | Priyanka Mishra |
collection | DOAJ |
description | Gastroduodenal perforation commonly due to spontaneous perforation of a pre-existing peptic ulcer is a surgical emergency. On laparotomy, approximately 60%–70% perforations are duodenal and 15%–20% gastric. The most prevalent etiology are Helicobacter pylori infection in 65%–70% and non-steroidal anti-inflammatory drugs (NSAIDS) abuse in 30%–50% cases depending on the prevalence of H. pylori infection. We report here the autopsy findings in a 29-year-old male who collapsed suddenly in the emergency room of our hospital after a bout of massive hematemesis. |
format | Article |
id | doaj-art-d699554b08244150a7273e95869ddd8d |
institution | Kabale University |
issn | 0377-4929 0974-5130 |
language | English |
publishDate | 2024-04-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Indian Journal of Pathology and Microbiology |
spelling | doaj-art-d699554b08244150a7273e95869ddd8d2025-02-07T13:58:56ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49290974-51302024-04-0167240540710.4103/ijpm.ijpm_129_22Exsanguinated to death by a perforated duodenal ulcer: Masquerader apprehended on autopsyPriyanka MishraNidhin RehmanSuvradeep MitraManoj G. MadakshiraGastroduodenal perforation commonly due to spontaneous perforation of a pre-existing peptic ulcer is a surgical emergency. On laparotomy, approximately 60%–70% perforations are duodenal and 15%–20% gastric. The most prevalent etiology are Helicobacter pylori infection in 65%–70% and non-steroidal anti-inflammatory drugs (NSAIDS) abuse in 30%–50% cases depending on the prevalence of H. pylori infection. We report here the autopsy findings in a 29-year-old male who collapsed suddenly in the emergency room of our hospital after a bout of massive hematemesis.https://journals.lww.com/10.4103/ijpm.ijpm_129_22autopsycoagulopathyhepatitis |
spellingShingle | Priyanka Mishra Nidhin Rehman Suvradeep Mitra Manoj G. Madakshira Exsanguinated to death by a perforated duodenal ulcer: Masquerader apprehended on autopsy Indian Journal of Pathology and Microbiology autopsy coagulopathy hepatitis |
title | Exsanguinated to death by a perforated duodenal ulcer: Masquerader apprehended on autopsy |
title_full | Exsanguinated to death by a perforated duodenal ulcer: Masquerader apprehended on autopsy |
title_fullStr | Exsanguinated to death by a perforated duodenal ulcer: Masquerader apprehended on autopsy |
title_full_unstemmed | Exsanguinated to death by a perforated duodenal ulcer: Masquerader apprehended on autopsy |
title_short | Exsanguinated to death by a perforated duodenal ulcer: Masquerader apprehended on autopsy |
title_sort | exsanguinated to death by a perforated duodenal ulcer masquerader apprehended on autopsy |
topic | autopsy coagulopathy hepatitis |
url | https://journals.lww.com/10.4103/ijpm.ijpm_129_22 |
work_keys_str_mv | AT priyankamishra exsanguinatedtodeathbyaperforatedduodenalulcermasqueraderapprehendedonautopsy AT nidhinrehman exsanguinatedtodeathbyaperforatedduodenalulcermasqueraderapprehendedonautopsy AT suvradeepmitra exsanguinatedtodeathbyaperforatedduodenalulcermasqueraderapprehendedonautopsy AT manojgmadakshira exsanguinatedtodeathbyaperforatedduodenalulcermasqueraderapprehendedonautopsy |