Sonographic diagnosis and successful nonoperative management of sealed perforated duodenal ulcer

Fujii, Yasutomo; Asato, Mitsunobu; Taniguchi, Nobuyuki; Shigeta, Kouichiro; Omoto, Kiyoka; Itoh, Kouichi; Suzukawa, Masayuki

doi:10.1002/jcu.10125

Cited by 15 publications

(16 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…An X-ray of the abdomen/thorax in the standing position will reveal free air under the diaphragm in about 80–85% [7,13]. Some centers perform abdominal ultrasonography, or computerized tomography (CT) scans with oral contrast [14]. With current radiological techniques, 80–90% of cases are correctly diagnosed [12].…”

Section: Clinical Presentation and Investigationmentioning

confidence: 99%

Perforated Peptic Ulcer Disease: A Review of History and Treatment

2010

View full text Add to dashboard Cite

Background: In the last one hundred years much has been written on peptic ulcer disease and the treatment options for one of its most common complications: perforation. The reason for reviewing the literature was evaluating most common ideas on how to treat perforated peptic ulcers (PPU) in general, opinions on conservative treatment and surgical treatment and summarizing ideas about necessary pre-, per- and postoperative proceedings. Method: All relevant articles found by Medline, Ovid and PubMed search were used. Results: A hundred articles written between 1929 and 2009 were reviewed. Of these, 9 were about the history of treatment, 7 about conservative treatment, and 26 were about the surgical procedure of which 8 were addressing laparoscopic correction. Overall there is no consensus, but some advice is given. For conservative treatment there are only a few indications. Use of an omental patch is recommended, irrigation and drainage are not. Laparoscopic correction of PPU as well as for definitive ulcer surgery has many advantages. Conclusions: Surgery for PPU is still a subject of debate despite more than an era of published expertise, indicating the need for establishing guidelines.

show abstract

Section: Clinical Presentation and Investigationmentioning

confidence: 99%

Perforated Peptic Ulcer Disease: A Review of History and Treatment

2010

View full text Add to dashboard Cite

show abstract

“…Consequently, a growing number of researchers and clinicians have been using sonography for the diagnosis of gastrointestinal disorders. [14][15][16][17][18][19] In our case, the use of transabdominal sonography provided information on not only the transmural extent but also the extramural involvement of the affected area, which would not have been available, if we had used endoscopic sonography during the diagnostic process. Thus, we believe that transabdominal sonography can serve as the first-choice modality for detecting primary linitis plastica carcinoma of the colon, whereas the use of endoscopic sonography and CT should be reserved for confirmatory examinations and disease staging.…”

Section: Discussionmentioning

confidence: 80%

Primary linitis plastica carcinoma of the colon accompanied by peritoneal abscess

Fujii

Taniguchi

Ono

et al. 2003

J of Clinical Ultrasound

Self Cite

View full text Add to dashboard Cite

We describe the case of a 75-year-old woman with linitis plastica carcinoma of the colon, accompanied by a peritoneal abscess, in which the use of transabdominal sonography enabled prompt detection and diagnosis. Sonographic examinations revealed diffuse wall thickening with blurred layer stratification in the ascending colon. The irregular outer margin of the affected area was surrounded by thickened pericolic fat. A peritoneal abscess covered by the omentum was also found. CT confirmed these findings. We extensively resected the right half of the colon. Histopathologic examination of the excised segment of the colon revealed a poorly differentiated adenocarcinoma with fibrotic infiltration. The patient was discharged 6 weeks postoperatively, and chemotherapy was begun, but she was lost to our follow-up. Although linitis plastica carcinoma of the colon is rare, it must be considered when patients have extensive colonic wall thickening with blurred layer stratification and an irregular outer margin surrounded by thickened pericolic fat. Transabdominal sonography should be considered the imaging modality of choice for the detection and diagnosis of this disease entity.

show abstract

“…Furthermore, with skilled operators, AUS can potentially localize a site of perforation. 10 US findings of local perforation include local visceral wall thickening. Sealed off peptic ulcers may have thickened walls and air in the ulcer.…”

Section: Discussionmentioning

confidence: 99%

“…Sealed off peptic ulcers may have thickened walls and air in the ulcer. 10 Lastly, AUS can provide diagnostic information not possible with AXRs (eg, disease of the gallbladder, kidneys, or aorta).…”

Section: Discussionmentioning

confidence: 99%

83-Year-Old Man With Chronic Kidney Disease, Fluid Overload, and Coronary Artery Disease Develops Altered Mental Status

Bade

Callahan

Higuero

et al. 2016

Chest

View full text Add to dashboard Cite

An 83-year-old man with a history of chronic kidney disease (stage V) as a result of hypertensive nephrosclerosis and coronary artery disease was admitted to the hospital with dyspnea and bilateral lower extremity edema. Owing to oliguria and progressive renal dysfunction, hemodialysis was initiated the following day via a previously-placed left arm arteriovenous fistula. As a result of delirium and bradycardia, he required prolonged hospitalization. Three weeks into his course, he became hypothermic and obtunded.Physical examination revealed a thin elderly man with the following vital signs: temperature, 33.8 C; pulse, 55 beats/min; respirations, 20 breaths/min; and blood pressure, 118/80 mm Hg. Cardiovascular examination was significant for bradycardia. Lung examination revealed decreased bibasilar air movement without adventitious sounds. His abdomen was scaphoid and not tender. Extremities showed bilateral 3þ edema to the level of the knees. Laboratory data showed a WBC count of 4.0 Â 10 3 /mm 3 (previously 7.1), potassium of 2.9 mEq/L, and BUN/creatinine of 82/3.65 mg/dL. Owing to the leukopenia, hypothermia, and change in mental status, a sepsis work-up was initiated. A prior chest radiograph (not shown) revealed pleural effusions (right greater than left), bilateral lower lobe infiltrates, and mild pulmonary edema. Bedside abdominal ultrasound (AUS) was performed. The following ultrasound (US) videos were taken with a high-frequency probe over the anterior surface of the liver with the patient at 20 upright (Videos 1, 2).

show abstract

Sonographic diagnosis and successful nonoperative management of sealed perforated duodenal ulcer

Cited by 15 publications

References 18 publications

Perforated Peptic Ulcer Disease: A Review of History and Treatment

Perforated Peptic Ulcer Disease: A Review of History and Treatment

Primary linitis plastica carcinoma of the colon accompanied by peritoneal abscess

83-Year-Old Man With Chronic Kidney Disease, Fluid Overload, and Coronary Artery Disease Develops Altered Mental Status

Contact Info

Product

Resources

About