Curling's ulcer: A rare condition

Abstract

A case of Curling's ulceration of the duodenum in a child with 50 per cent burns, requiring operative arrest of the bleeding, is reported, and this condition is reviewed. Inquiry among the surgical units treating burns in Great Britian showed that only 18 cases of alimentary bleeding had been seen in the course of treating some 32 500 patients. The incidence in Europe and Australia appears to be of the same order, but there is a much higher incidence in some burns units in North America. Possible reasons for these differences are examined. The occurrence and treatment of Curling's ulcer in childhood are considered.

Fluid Resusciatation Early In Major Burns: Ten Years Experience In Saudi Arabia

“…Muir and Jones (1976) reported low incidence of duodenal ulcer in burn patients in USA, compared with those in UK, and this was explained by use of crystalloids in USA, and colloids in UK. 19 Currently, burn therapists feel that early colloid infusion, is not suitable early in massive burn cases as a resuscitative fluid, and is accompanied with many hazards. These hazards are represented by renal, pulmonary, and metabolic disturbances.…”

Das Stressulcus

“…Magen-Darm-Geschwiire in der Sp/itphase ausgedehnter Verbrennungen, die mit gastraler Hypersekretion einhergehen und von ihrer Pathogenese und Lokalisation her Beziehungen zum chronischen Ulcus duodeni aufweisen [28]. Magen-Darm-Geschwiire in der Sp/itphase ausgedehnter Verbrennungen, die mit gastraler Hypersekretion einhergehen und von ihrer Pathogenese und Lokalisation her Beziehungen zum chronischen Ulcus duodeni aufweisen [28].…”

“…Urs~ichlich ist eine Vasoconstriction infolge erh6hten Sympathotonus[35] und Ausschiittung vasoaktiver Amine[30] bei gleichzeitiger Offnung submuk6ser Shunts. Die Seltenheit eines Stressulcus bei Kindern und Jugendlichen[28] diirfte u.a. Im weiteren Verlauf kommt es durch einen reaktiven Vagotonus zu Einblutungen und H~imorrhagien der Schleimhaut.…”

Review of general surgery 1976

“…They employ a mixture of hypertonic glucose and human thrombin, although others are using cyanocrylate, which is a quick-setting acrylic monomer. A rare cause of duodenal ulcer complicated by haemorrhage is discussed by Muir & Jones (1976). This is the Curling's ulceration of the duodenum, which may complicate severe burns.…”