A rare case of post cesarean duodenal perforation diagnosed by laparoscopy

Zigron, Roy; Stern, Shira; Gil, Moran; Rottenstreich, Amihai

doi:10.1016/j.ejogrb.2018.01.031

Cited by 2 publications

(3 citation statements)

References 3 publications

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“…Computed tomography was performed following an abrupt upper abdominal pain, coffee ground vomiting, and epigastric tenderness in one case, which revealed massive PP [3]. After a PPU was confirmed by laparoscopy, curative laparotomy was promptly done, and the patient survived without severe morbidity [3].…”

Section: Discussionmentioning

confidence: 99%

“…Post cesarean gastrointestinal complications are extremely rare and mostly involve the large bowel. Perforated peptic ulcer (PPU) following cesarean section is rare and information regarding this diagnosis is lacking [3]. In this case series, we provide four cases that underwent early post cesarean section relaparotomy due to PPU and also, we reviewed English literature for the similar cases reported from 1940 to March 2019.…”

Section: Introductionmentioning

confidence: 99%

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Peptic ulcer perforation after cesarean section; case series and literature review

et al. 2020

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Background: Peptic ulcer perforation in the early post-cesarean period is rare but may result in maternal mortality. Case presentation: Four cases of post-cesarean peptic ulcer perforation are presented. In all four patients, presentations include peritoneal signs such as acute abdominal pain and progressive distention, hemodynamic instability and intraperitoneal free fluid by ultrasound. Laparotomy and repair were done in all 4 cases. There were 2 maternal deaths. We also have reviewed English literature for the similar cases reported from 1940 to March 2019. Conclusion: New onset tachycardia, abdominal pain and progressive distension after cesarean section without congruent changes in hemoglobin should raise concerns for intra-abdominal emergencies including perforated peptic ulcer. Early use of ultrasound should be considered to assist in diagnosis. Coordinated care by an obstetrician and a general surgeon is necessary in presence of any unusual postoperative abdominal pain. Early recognition of the disease is imperative to limit the surgical delay and to improve the outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Peptic ulcer perforation after cesarean section; case series and literature review

et al. 2020

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“…Acute abdomen in pregnancy represents a unique diagnostic and therapeutic challenge, acute abdominal pain in pregnancy can occur due to obstetric factors as well for reasons that are unrelated to pregnancy. Perforation of duodenal ulcer is one of the clinical acute abdomen, and it is a rare complication in pregnancy especially post-cesarean [1][2][3] , which requires emergency laparotomy. This rare postoperative complication is easily misdiagnosed or regarded as paralytic intestinal obstruction.…”

Section: Introductionmentioning

confidence: 99%

Duodenal Perforation Caused Septic Shock: a Rare Case Combined With Coronavirus Disease 2019

Guo¹,

Hu²,

Li³

et al. 2020

Preprint

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Background: Duodenal perforation is one of the rarer causes of acute abdomen in pregnancy, which is especially easy to be overlooked during the outbreak of 2019 novel coronavirus (2019-nCoV) after delivery.Case presentation: Here, we report a case of duodenal perforation-induced septic shock with coronavirus disease 2019 (COVID-19), and the patient underwent emergency laparotomy after reporting to the hospital management department under strict protection. Her recovery in postoperative period in Medical Intensive Care Unit (MICU) was uneventful and she was transferred to a designated hospital for treatment of COVID-19 5 days later.Conclusions: The establishment of emergency green channel for maternal health care, and timely and comprehensive multidisciplinary cooperation during the epidemic period, strengthen the standardized management of high-risk pregnancy, and better guarantee the safety of mothers and infants.

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A rare case of post cesarean duodenal perforation diagnosed by laparoscopy

Cited by 2 publications

References 3 publications

Peptic ulcer perforation after cesarean section; case series and literature review

Peptic ulcer perforation after cesarean section; case series and literature review

Duodenal Perforation Caused Septic Shock: a Rare Case Combined With Coronavirus Disease 2019

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