Perforated ulcer

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A perforated ulcer, also known as a bleeding ulcer[1] or a perforated peptic ulcer[2] is a very serious condition where an untreated ulcer can burn through the wall of the stomach (or other areas of the gastrointestinal tract), allowing digestive juices and food to leech into the abdominal cavity. Treatment generally requires immediate surgery.[3] The ulcer is known initially as a peptic ulcer before the ulcer burns through the skin. A diagnosis is made by taking an X-ray of the stomach area (seeking air under the diaphragm). This is in fact one of the very few occasions in modern time where surgery is undertaken to treat an ulcer.[1] Many of the perforated ulcers have been attributed to the bacterium Helicobacter pylori.[4] The incidence of perforated ulcer is steadily declining, though there are still incidents where it occurs.[5] A perforated ulcer can be grouped into a Stercoral perforation which involves a number of different things that causes perforation of the intestine wall.

References

  1. 1.0 1.1 http://www.netdoctor.co.uk/diseases/facts/pepticulcertreatment.htm
  2. http://www.emedmag.com/html/pre/gic/consults/071503.asp
  3. http://www.betterhealth.vic.gov.au/BHCV2/bhcarticles.nsf/pages/Stomach_ulcer?OpenDocument
  4. http://www.surgical-tutor.org.uk/default-home.htm?system/abdomen/perforated_peptic.htm~right
  5. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Abstract&list_uids=10658061

Further reading


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Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .

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