DSpace Arşivi :: by Yazar "Ustun, Mehmet" değerine göre listeleniyor

Listeleniyor 1 - 1 / 1

Spontaneous Perforation of Jejunal Ulcer
(2020) Yeşilkurt, Değercan; Akpınar, Göksever; Aydın, Cengiz; Ustun, Mehmet; Atıcı, Semra Demirli
Spontaneous perforation of the nonspecific small bowel ulcer is a rarely seen condition thatcauses acute abdomen and mostly diagnosed perioperatively. A 72-year old female patient wasadmitted to emergency service with abdominal pain. Her physical examination was compatiblewith acute abdomen and peritonitis. Abdomen computerized tomography showed free airunder the right diaphragm. She was operated with a presumptive diagnosis of gastrointestinalperforation. An isolated jejunal perforation on the opposite side of the mesentery was foundperioperatively. A biopsy was taken, and the perforation was repaired with primary sutures.The patient died in the intensive care unit due to pulmonary complications on the fifthpostoperative day. Although the biopsy was taken from the superficial tissue, it was consistentwith an ulcer. Nonspecific jejunal ulcer perforations can be life-threatening because of thedelayed diagnosis. Especially in elderly patients, it should be kept in mind as a cause of acuteabdomen.