Perforated duodenal ulcer in the immediate puerperium following caesarean section

Sule, EA; Omo‐Aghoja, Lawrence

doi:10.3109/01443615.2010.496500

Cited by 5 publications

(2 citation statements)

References 8 publications

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“…Across the review, 3 patients died in the first week after laparotomy [19,20] and 1 died 6 months later due to gastric adenocarcinoma complications [21]. Additionally, 3 patients had prolonged hospitalization courses due to the secondary morbidity of PPU [10,18,22,23]. Four patients required repeat exploration after initial laparotomy for PPU; 3 for abscess washout and drainage [10,18,19] and one for gastric adenocarcinoma staging [21].…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, 3 patients had prolonged hospitalization courses due to the secondary morbidity of PPU [10,18,22,23]. Four patients required repeat exploration after initial laparotomy for PPU; 3 for abscess washout and drainage [10,18,19] and one for gastric adenocarcinoma staging [21]. The possibility of significant morbidity and mortality shows a need for high index suspicion by the obstetricians.…”

Section: Discussionmentioning

confidence: 99%

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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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