Acute tension pneumopericardium due to perforated gastric ulcer without diagnostic radiographic findings 72 h before perforation

Schulte-Hermes, Michael; Klein-Wiele, Oliver; Vorpahl, Marc; Seyfarth, M.

doi:10.1016/j.jccase.2018.07.007

Cited by 4 publications

(3 citation statements)

References 9 publications

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“…The incidence of perforated peptic ulcer is approximately 7-10 per 10.000 population per year [5,14]. An estimated 2% to 10% of patients with PUD will present with perforation of the stomach or the duodenum in their lifetimes, with a high risk for mortality in the elderly [15,16]. Acute perforations of the duodenum are estimated to occur in 2-10% of patients with PUD [17,18].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic repair for perforated peptic ulcer: our experience, a comparison with the open approach and a review of the literature.

Vaccari

D’Andrea

Lauro³

et al. 2020

Journal of Gastric Surgery

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Backgrounds: The incidence of perforated peptic ulcers has decreased during the last decades but the optimal treatment for these patients remains controversial. At the same time, a laparoscopic approach to this condition has been adopted by an increased number of surgeons. Therefore, this study wants to evaluate the postoperative results of the laparoscopic treatment of perforated peptic ulcer performed in one Italian center with extensive experience in laparoscopic surgery. Methods: This retrospective study includes 94 patients who were operated for perforated peptic ulcer peritonitis at “St. Orsola Hospital - Emergency Surgery Unit - University of Bologna” from May 2014 to December 2019. The patients’ charts were reviewed for demographics, surgical procedure, complications, and short-term outcomes. Results: The diagnosis was made clinically and confirmed by the presence of gas under diaphragm on abdominal X-ray. All patients underwent primary suture repair with or without omentopexy. Boey score 0 or 1 was found in 66 (70%) patients, Boey 2 or 3 in 28 (30%) patients. The operative time was between 35 and 255 minutes, with a mean of 93 minutes. The overall median hospital stay was 9.5 (1-60) days. Post-operative complications occurred in 19 (20%) patients and 18 (19%) patients died. Conclusions: Perforated peptic ulcer is a severe condition that requires early hospital admission and immediate surgery. Laparoscopy in experienced centers and for selected patients is safe, associated with optimal outcomes and should be the preferred approach.

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Section: Introductionmentioning

confidence: 99%

Laparoscopic repair for perforated peptic ulcer: our experience, a comparison with the open approach and a review of the literature.

Vaccari

D’Andrea

Lauro³

et al. 2020

Journal of Gastric Surgery

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“…No blood flow due to thrombus formation was defined as complete occlusion. A slight and monophasic decrease in blood flow was considered functional occlusion (Michael Schulte-Hermes et al, 2018). A visual analog scale assessed pain due to compression hemostasis.…”

Section: Methodsmentioning

confidence: 99%

Safety and Efficacy of Coronary Intervention Through Distal Transradial Access in Subjects With Low Body Mass Index

MAHMOOD¹,

BASHIR²,

RAMZAN³

et al. 2023

Biol Clin Sci Res J

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This study evaluated the efficacy and safety of coronary intervention through dTRA in subjects with low body mass index. The retrospective study was conducted in the Cardiology Department of Ch Pervaiz Elahi Institute of Cardiology Multan from January 2022 to January 2023. A total of 37 patients were included in the study. The patients were divided into Group A (cTRA, n=20) and Group B (dTRA, 17). Procedure-related information was recorded, including puncture time and success rate, procedural method and category, radiation exposure, compression hemostasis, and complications like degree of pain, hand swelling, numbness, hematoma, and bleeding. RAO was recorded in the follow-up. The puncture success rate in Group A was 97.5%, and in Group B was 96.7%; this difference was not statistically significant(P=.856). Group B had a longer puncture time than Group A (72s vs. the 60s, P=.003). 1 patient in group B had puncture failure and was switched to Group A. Procedural time in Group B was significantly longer than in Group A (46 min vs. 31 min, P=.043). Compression hemostasis time in Group B was significantly shorter than in Group A (5h vs. 7h, P<.001). The groups' differences in post-operative complications, including hand swelling, numbness, hematoma, and bleeding, were not statistically significant. However, Group B had a significantly lower VAS score than Group A (1 vs. 2, P=<.001). Based on the results, Distal transradial access provides an effective and safe route for coronary intervention in subjects with low BMI.

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“…The incidence of perforated peptic ulcer is approximately 7-10 per 10.000 populations per year [2,3]. An estimated 2% to 10% of patients with PUD will present with perforation of the stomach or the duodenum in their lifetimes, with a disproportionately high risk for mortality in the elderly [4,5]. Acute perforations of the duodenum are estimated to occur in 2-10% of patients with PUD [7,54].…”

mentioning

confidence: 99%

Focus on the Perforated Peptic Ulcer

Sorin¹,

Marechal²,

Cadière³

et al. 2019

Act Scie Gastro

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Peptic ulcer perforation is a life threatening complication of peptic ulcer disease (PUD). 10%-20% of patients with peptic ulcer will develop complications, only 2%-14% of the ulcers will perforate [1,8]. Perforation is one of the commonest causes of emergency hospitalization and surgery in peptic ulcer disease [1]. Perforated peptic ulcer is associated with short term mortality and morbidity in up to 30% and 50% of the patients. The incidence of perforated peptic ulcer is approximately 7-10 per 10.000 populations per year [2,3]. An estimated 2% to 10% of patients with PUD will present with perforation of the stomach or the duodenum in their lifetimes, with a disproportionately high risk for mortality in the elderly [4,5]. Acute perforations of the duodenum are estimated to occur in 2-10% of patients with PUD [7,54].

show abstract

Acute tension pneumopericardium due to perforated gastric ulcer without diagnostic radiographic findings 72 h before perforation

Cited by 4 publications

References 9 publications

Laparoscopic repair for perforated peptic ulcer: our experience, a comparison with the open approach and a review of the literature.

Laparoscopic repair for perforated peptic ulcer: our experience, a comparison with the open approach and a review of the literature.

Safety and Efficacy of Coronary Intervention Through Distal Transradial Access in Subjects With Low Body Mass Index

Focus on the Perforated Peptic Ulcer

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