Frequency of duodenal ulcer perforation with radiological evidence of pneumoperitoneum
PAFMJ-Pakistan Armed Forces Medical Journal. 2011; 61 (2): 215-217
em Inglês
| IMEMR
| ID: emr-124645
ABSTRACT
To determine the frequency of duodenal ulcer perforation with radiological evidence of gas under the diaphragm on X-ray chest. Descriptive. Department of Surgery Combined Military Hospital [CMH] and Military Hospital [MH], Rawalpindi, from Nov, 2005 to May 2006. Patients with acute abdomen presenting as emergency at CMH and MH Rawalpindi were evaluated. Preoperatively X-ray chest PA view, in standing posture, was done in all cases and presence or absence of pneumoperitoneum noted. The patients were then followed by laparotomy to confirm or otherwise a perforation of duodenum. Only 30 patients were included in the study where duodenal perforation was confirmed per-operatively. Pneumoperitoneum on X ray chest PA view was found in 25 [83.3%] out of 30 patients with duodenal ulcer perforation; The remaining 05 patients i.e. 16.67% did not show pneumoperitoneum. X-ray chest is a helpful tool in diagnosing majority of patients with a perforated duodenal ulcer. However there is a significant number of patients where the clinical acumen of the doctor would help in an early diagnosis and prompt treatment
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Índice:
IMEMR (Mediterrâneo Oriental)
Assunto principal:
Úlcera Péptica Perfurada
/
Pneumoperitônio
/
Radiografia Torácica
/
Abdome Agudo
Tipo de estudo:
Síntese de evidências
/
Estudo de rastreamento
Limite:
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Pak. Armed Forces Med. J.
Ano de publicação:
2011
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