The outcome of operative and non-operative treatment of duodenal ulcer perforation
Dr. Subrata Roy
We present a case of perforated duodenal ulcer which was first considered using the results of the endoscopy examination. Erect chest radiography and abdominal CT scan identified the site of the perforation and excluded other intra-abdominal lesions. Sealed perforated duodenal ulcer was shown on water soluble gastroduodenogram. As the patient’s general condition remained stable, we prescribed nonoperative management and patient’s clinical condition was closely monitored. The patient had clinical improvement after undergoing nonoperative treatments. It is believed that water soluble gastroduodenogram may help the diagnosis of sealed perforation. Sealed perforated duodenal ulcer allows for nonoperative management and may reduce the need for surgery in such patients.