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Duodenal ulcer penetration into the liver at the previous left hemihepatectomy site.

Hayashi H, Kitagawa H, Shoji M, Nakanuma S, Makino I, Oyama K, Inokuchi M, Nakagawara H, Miyashita T, Tajima H, Takamura H, Ninomiya I, Fushida S, Fujimura T, Tani T, Ohta T - Int J Surg Case Rep (2013)

Bottom Line: Its frequency was thought to have decreased owing to advances in therapies for peptic ulcers.Further, no definite abscess was found.This case demonstrates the importance of using absorbable suture materials, adequate lavage in the postoperative peritoneal space and gastroduodenal mucosal protection postoperatively.

View Article: PubMed Central - PubMed

Affiliation: Department of Gastroenterologic Surgery, Division of Cancer Medicine, Graduate School of Medical Science, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8641, Japan. Electronic address: pwrofdrms2000@staff.kanazawa-u.ac.jp.

No MeSH data available.


Related in: MedlinePlus

Abdominal computed tomography images revealing duodenal bulb deformities (white arrows) and a markedly dilated stomach with residual food.
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fig0005: Abdominal computed tomography images revealing duodenal bulb deformities (white arrows) and a markedly dilated stomach with residual food.

Mentions: Abdominal computed tomography images revealed a deformity of the duodenal bulb and a markedly dilated stomach, containing food residue (Fig. 1); free air in the abdominal cavity was not detected. A fibroscopic upper gastrointestinal examination revealed a giant ulcer with a prominent crater in the inferior wall of the bulb. In addition, a foreign body was detected at the ulcer floor and was strongly suspected of being a ligature associated with the previous left hemihepatectomy (Fig. 2). The foreign body was eliminated, and an endoscopic biopsy was performed. Histopathological examination of the biopsy showed a simple, active ulcer. The patient received conservative therapy with a proton pump inhibitor and recovered immediately.


Duodenal ulcer penetration into the liver at the previous left hemihepatectomy site.

Hayashi H, Kitagawa H, Shoji M, Nakanuma S, Makino I, Oyama K, Inokuchi M, Nakagawara H, Miyashita T, Tajima H, Takamura H, Ninomiya I, Fushida S, Fujimura T, Tani T, Ohta T - Int J Surg Case Rep (2013)

Abdominal computed tomography images revealing duodenal bulb deformities (white arrows) and a markedly dilated stomach with residual food.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3860026&req=5

fig0005: Abdominal computed tomography images revealing duodenal bulb deformities (white arrows) and a markedly dilated stomach with residual food.
Mentions: Abdominal computed tomography images revealed a deformity of the duodenal bulb and a markedly dilated stomach, containing food residue (Fig. 1); free air in the abdominal cavity was not detected. A fibroscopic upper gastrointestinal examination revealed a giant ulcer with a prominent crater in the inferior wall of the bulb. In addition, a foreign body was detected at the ulcer floor and was strongly suspected of being a ligature associated with the previous left hemihepatectomy (Fig. 2). The foreign body was eliminated, and an endoscopic biopsy was performed. Histopathological examination of the biopsy showed a simple, active ulcer. The patient received conservative therapy with a proton pump inhibitor and recovered immediately.

Bottom Line: Its frequency was thought to have decreased owing to advances in therapies for peptic ulcers.Further, no definite abscess was found.This case demonstrates the importance of using absorbable suture materials, adequate lavage in the postoperative peritoneal space and gastroduodenal mucosal protection postoperatively.

View Article: PubMed Central - PubMed

Affiliation: Department of Gastroenterologic Surgery, Division of Cancer Medicine, Graduate School of Medical Science, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8641, Japan. Electronic address: pwrofdrms2000@staff.kanazawa-u.ac.jp.

No MeSH data available.


Related in: MedlinePlus