Deaths from perforation and hemorrhage of gastroduodenal ulcer during pregnancy and puerperium

Sandweiss, David J.; Podolsky, Harold M.; Saltzstein, Harry C.; Farbman, Aaron A.

doi:10.1016/s0002-9378(43)90667-2

Cited by 36 publications

(2 citation statements)

References 3 publications

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“…Therefore, it is imperative to limit the surgical delay in any patient with suspected PPU [6]. PPU represents a rare but potentially mortal diagnosis after the cesarean section, particularly in the early postpartum period [7].…”

Section: Discussionmentioning

confidence: 99%

Peptic ulcer perforation after cesarean section; case series and literature review

et al. 2020

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Background: Peptic ulcer perforation in the early post-cesarean period is rare but may result in maternal mortality. Case presentation: Four cases of post-cesarean peptic ulcer perforation are presented. In all four patients, presentations include peritoneal signs such as acute abdominal pain and progressive distention, hemodynamic instability and intraperitoneal free fluid by ultrasound. Laparotomy and repair were done in all 4 cases. There were 2 maternal deaths. We also have reviewed English literature for the similar cases reported from 1940 to March 2019. Conclusion: New onset tachycardia, abdominal pain and progressive distension after cesarean section without congruent changes in hemoglobin should raise concerns for intra-abdominal emergencies including perforated peptic ulcer. Early use of ultrasound should be considered to assist in diagnosis. Coordinated care by an obstetrician and a general surgeon is necessary in presence of any unusual postoperative abdominal pain. Early recognition of the disease is imperative to limit the surgical delay and to improve the outcomes.

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Section: Discussionmentioning

confidence: 99%

Peptic ulcer perforation after cesarean section; case series and literature review

et al. 2020

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“…Sandweiss et al (1943) reported only one death, from a perforated ulcer, among 70,310 women during pregnancy. Over the period of the present series there were approximately 10,000 women who attended the antenatal clinic and were confined in the hospital.…”

Section: Clinical Observationsmentioning

confidence: 99%