Ferreira V, Garcia Lisbona J R, Martinez A, Perez Ruiz L
Sem Hop. 1979;55(43-44):2044-6.
A case or retroperitoneal perforation of a duodenal ulcer is presented. Firstly was erroneously diagnosed as an acute appendicitis, and operated upon. The result were good but four successives surgical gests became necessary : first, to treat a very severe parietal infection ; after that, to resolve one very impressive gastro-intestinal hemorrhage and lastly, to treat the duodeno-cutaenous fistula and the duodenal ulcer. The published cases in the recent literature are very scanty but similar to ourselves. The difficulties of promp diagnosis, the erroneously planned first operation in seriously ill patients would be the main causes of the very high mortality.
本文报告一例十二指肠溃疡腹膜后穿孔病例。该病例最初被误诊为急性阑尾炎并接受了手术。手术结果良好，但随后需要进行四次连续的外科手术：首先，治疗非常严重的腹壁感染；之后，解决一次非常严重的胃肠道出血；最后，治疗十二指肠皮肤瘘和十二指肠溃疡。近期文献中报道的此类病例非常少，但与我们的病例相似。早期诊断困难以及对重症患者首次手术计划错误是导致高死亡率的主要原因。
