Tallmadge Maggie, MacBeth Margaret, Palatnik Anna
Department of Obstetrics and Gynecology Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Case Rep Obstet Gynecol. 2024 Jun 11;2024:6422824. doi: 10.1155/2024/6422824. eCollection 2024.
The use of nonsteroidal anti-inflammatory drug (NSAID) medications is a risk factor for peptic ulcer disease (PUD). PUD in the postpartum period is rare, despite the common use of NSAIDs. A G1P0 presented 6 days postcesarean section with fatigue, lightheadedness, melenic stools, and a hemoglobin of 5.4 g/dL after using NSAIDs and acetaminophen for postoperative pain control. An esophagogastroduodenoscopy (EGD) was performed for a suspected upper gastrointestinal bleed and found one gastric and one duodenal ulcer. Though typically used for a short course in the postpartum period, NSAIDs remain a predisposing risk factor for PUD postpartum, and patients and providers must be aware of this risk.
使用非甾体抗炎药（NSAID）是消化性溃疡病（PUD）的一个危险因素。尽管NSAIDs使用普遍，但产后发生PUD的情况很少见。一名初产妇在剖宫产术后6天出现疲劳、头晕、黑便，在使用NSAIDs和对乙酰氨基酚控制术后疼痛后血红蛋白为5.4 g/dL。因怀疑上消化道出血进行了食管胃十二指肠镜检查（EGD），发现一个胃溃疡和一个十二指肠溃疡。虽然NSAIDs在产后通常短期使用，但它仍然是产后PUD的一个诱发危险因素，患者和医疗人员必须意识到这种风险。
