Wani AM, Hussain WM, AlMiamini W, Khoujah AM, Diari MS, Akhtar M, Alharbi ZS. Scoping a perforated bleeding peptic ulcer: learning points.
BMJ Case Rep 2011;
2011:2011/mar16_1/bcr0820103285. [PMID:
22699475 DOI:
10.1136/bcr.08.2010.3285]
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Abstract
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.
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