Scoping a perforated bleeding peptic ulcer: learning points

Peptic ulcer perforation and haemorrhage is not unusual as a complication of peptic ulcer disease. In the older patientspresentation can be dramatic and atypical. The authors are presenting a case of duodenal ulcer perforation and haemorrhage which was misdiagnosed as a gastric malignancy and thus f...

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Bibliographic Details
Published in:BMJ case reports 2011-03, Vol.2011 (mar16 1), p.bcr0820103285-bcr0820103285
Main Authors: Wani, Abdul Majid, Hussain, Waleed Mohd, Miamini, Wail Al, Khoujah, Amer M, Diari, Mohd S, Akhtar, Mubeena, Alharbi, Zeyad S
Format: Article
Language:English
Subjects:
Abdomen
Aged
Biopsy
Diagnostic Errors
Duodenal Ulcer - complications
Duodenal Ulcer - diagnostic imaging
Emergency medical care
Endoscopy
Endoscopy, Digestive System
Gastric cancer
Humans
Intervention
Learning from Errors
Male
Middle East
Mortality
Patients
Peptic Ulcer Hemorrhage - diagnosis
Peptic Ulcer Hemorrhage - diagnostic imaging
Peptic Ulcer Perforation - diagnosis
Peptic Ulcer Perforation - diagnostic imaging
Radiography
Stomach Neoplasms - diagnosis
Stomach Neoplasms - diagnostic imaging
Ulcers
X-rays
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Description
Summary:Peptic ulcer perforation and haemorrhage is not unusual as a complication of peptic ulcer disease. In the older patientspresentation can be dramatic and atypical. The authors are presenting a case of duodenal ulcer perforation and haemorrhage which was misdiagnosed as a gastric malignancy and thus failure to have Helicobacter pylori eradication, recurrence with complication and hesitancy in surgical intervention due to initial label of malignancy.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr.08.2010.3285