Korean J Med.
2016 May;90(5):410-415. 10.3904/kjm.2016.90.5.410.
Non-operative Treatment of Gastric Ulcer Perforation with Contrast Leakage in an Elderly Patient
- Affiliations
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- 1Department of Internal Medicine, Good Samsun Hospital, Busan, Korea. scsdoc2000@naver.com
- 2Department of Radiology, Good Samsun Hospital, Busan, Korea.
- KMID: 2163235
- DOI: http://doi.org/10.3904/kjm.2016.90.5.410
Abstract
- Peptic ulcer remains an important public health concern due to an aging society and the increasing use of non steroidal anti-inflammatory drugs (NSAIDs). Perforated peptic ulcer is a major life-threatening complication of peptic ulcer. While the preferred treatment is surgery, conservative treatment does not result in significantly different outcomes in young, hemodynamically stable patients. However, conservative treatment of perforated peptic ulcer is associated with high failure rates in elderly patients. We report a case of an 87-year-old patient with a perforated peptic ulcer with contrast agent leakage. The patient was treated conservatively without complications; the treatment included non per os (NPO), insertion of a Levin tube, intravenous antibiotics, and a proton pump inhibitor.
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