Perforated duodenal ulcer associated with an incarcerated hiatal hernia: report of a case |
| |
Authors: | Otsuka Yuichi Nara Satoshi Ito Kei Nakajima Kentaro Mieno Hiroaki Konishi Toshiro |
| |
Institution: | (1) Department of Surgery, Kanto Medical Center NTT EC, 5-9-22 Higashigotanda, Shinagawa, Tokyo 141-8625, Japan, JP |
| |
Abstract: | We report the case of a perforated duodenal ulcer and diffuse peritonitis associated with an incarcerated hiatal hernia. A
77-year-old woman with a 17-year history of rheumatoid arthritis treated with nonsteroidal anti-inflammatory drugs, who had
also been receiving treatment for non-Hodgkin's lymphoma over 4 years, was referred to us for investigation of nausea and
vomiting. An abdominal compute tomography (CT) scan showed an incarcerated hiatal hernia and free air in the hernia sac. Emergency
laparotomy revealed an incarcerated hiatal hernia involving the stomach, transverse colon, and omentum. A perforated ulcer
was also found in the posterior wall of the first portion of the duodenum. The combination of these disorders is thought to
be rare in patients with a hiatal hernia and free air in its sac. As the reported mortality of perforated gastric ulcer associated
with a hiatal hernia is high, early elective surgery should be performed in patients with a duodenal ulcer associated with
a hiatal hernia.
Received: December 25, 2001 / Accepted: May 7, 2002
Reprint requests to: Y. Otsuka |
| |
Keywords: | Hiatal hernia Duodenal ulcer Perforation |
本文献已被 PubMed SpringerLink 等数据库收录! |
|