Karangelis Dimos, Tagarakis Georgios I, Karathanos Christos, Bouliaris Konstantinos, Baddour Andony J, Giaglaras Anargyros
Department of General Surgery, General Hospital of Larissa, Greece.
J Med Case Rep. 2010 Aug 18;4:272. doi: 10.1186/1752-1947-4-272.
Peritonitis due to peptic ulcer perforation is a surgical emergency with a high risk of mortality and morbidity.
We present a rare case of a 54-year-old Caucasian man who underwent an emergency laparotomy for peritonitis caused by perforation of two peptic ulcers. The first was located on the anterior wall of the duodenum and the second was posterior, pre-pyloric, close to the lesser curvature.
To the best of our knowledge, this is only the second report in the medical literature of a simultaneous perforation of two peptic ulcers; though rare, every surgeon performing open or laparoscopic repair of a perforated peptic ulcer should be aware of the possibility of simultaneous perforation.
消化性溃疡穿孔引起的腹膜炎是一种具有高死亡率和发病率风险的外科急症。
我们呈现了一例罕见病例，一名54岁的白种男性因两个消化性溃疡穿孔导致腹膜炎接受了急诊剖腹手术。第一个溃疡位于十二指肠前壁，第二个位于幽门前、靠近小弯侧的后壁。
据我们所知，这是医学文献中关于两个消化性溃疡同时穿孔的第二篇报道；尽管罕见，但每位进行消化性溃疡穿孔开放或腹腔镜修复手术的外科医生都应意识到同时穿孔的可能性。
