Perforative duodenal ulcer in a patient in the acute period of ischemic stroke. Case report

Perforated duodenal ulcer is a common pathology with fairly high postoperative mortality, especially in late diagnosis. In some cases, timely diagnosis of a perforative ulcer may be difficult and the results of the survey may be contradictory. The classical triad of clinical signs of perforative ulc...

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Main Authors: Dmitriy V. Abramov, Alexander P. Zubarev, Valeriy M. Afanasiev, Antonina V. Smolkina, Elmira A. Karimova
Format: Article
Language:Russian
Published: ZAO "Consilium Medicum" 2023-08-01
Series:Consilium Medicum
Subjects:
Online Access:https://consilium.orscience.ru/2075-1753/article/viewFile/430426/pdf
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author Dmitriy V. Abramov
Alexander P. Zubarev
Valeriy M. Afanasiev
Antonina V. Smolkina
Elmira A. Karimova
author_facet Dmitriy V. Abramov
Alexander P. Zubarev
Valeriy M. Afanasiev
Antonina V. Smolkina
Elmira A. Karimova
author_sort Dmitriy V. Abramov
collection DOAJ
description Perforated duodenal ulcer is a common pathology with fairly high postoperative mortality, especially in late diagnosis. In some cases, timely diagnosis of a perforative ulcer may be difficult and the results of the survey may be contradictory. The classical triad of clinical signs of perforative ulcers is not always observed in patients, sometimes the clinical picture is so unclear that the final diagnosis can only be made intraoperative. The article presents an analysis of the clinical case of difficult diagnosis and treatment of perforative duodenal ulcer in a patient in an acute period of ischemic stroke. In addition, the patient had severe concomitant somatic pathology with a high risk of systemic thromboembolism and at the same time a high risk of bleeding.
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spelling doaj.art-b5d135b2671947a68afc33217c287c5d2023-08-10T21:15:19ZrusZAO "Consilium Medicum"Consilium Medicum2075-17532542-21702023-08-0125535736010.26442/20751753.2023.5.2022474670Perforative duodenal ulcer in a patient in the acute period of ischemic stroke. Case reportDmitriy V. Abramov0https://orcid.org/0009-0006-4326-0904Alexander P. Zubarev1Valeriy M. Afanasiev2Antonina V. Smolkina3https://orcid.org/0000-0001-5140-7757Elmira A. Karimova4https://orcid.org/0009-0008-1977-2269Ulyanovsk State UniversityUlyanovsk Regional Clinical Hospital for War VeteransUlyanovsk Regional Clinical Hospital for War VeteransUlyanovsk State UniversityUlyanovsk Regional Clinical Hospital for War VeteransPerforated duodenal ulcer is a common pathology with fairly high postoperative mortality, especially in late diagnosis. In some cases, timely diagnosis of a perforative ulcer may be difficult and the results of the survey may be contradictory. The classical triad of clinical signs of perforative ulcers is not always observed in patients, sometimes the clinical picture is so unclear that the final diagnosis can only be made intraoperative. The article presents an analysis of the clinical case of difficult diagnosis and treatment of perforative duodenal ulcer in a patient in an acute period of ischemic stroke. In addition, the patient had severe concomitant somatic pathology with a high risk of systemic thromboembolism and at the same time a high risk of bleeding.https://consilium.orscience.ru/2075-1753/article/viewFile/430426/pdfperforated duodenal ulcerischemic strokevenous thromboembolic complicationsparoxysmal atrial fibrillationlaparoscopyperioperative periodanticoagulant therapy
spellingShingle Dmitriy V. Abramov
Alexander P. Zubarev
Valeriy M. Afanasiev
Antonina V. Smolkina
Elmira A. Karimova
Perforative duodenal ulcer in a patient in the acute period of ischemic stroke. Case report
Consilium Medicum
perforated duodenal ulcer
ischemic stroke
venous thromboembolic complications
paroxysmal atrial fibrillation
laparoscopy
perioperative period
anticoagulant therapy
title Perforative duodenal ulcer in a patient in the acute period of ischemic stroke. Case report
title_full Perforative duodenal ulcer in a patient in the acute period of ischemic stroke. Case report
title_fullStr Perforative duodenal ulcer in a patient in the acute period of ischemic stroke. Case report
title_full_unstemmed Perforative duodenal ulcer in a patient in the acute period of ischemic stroke. Case report
title_short Perforative duodenal ulcer in a patient in the acute period of ischemic stroke. Case report
title_sort perforative duodenal ulcer in a patient in the acute period of ischemic stroke case report
topic perforated duodenal ulcer
ischemic stroke
venous thromboembolic complications
paroxysmal atrial fibrillation
laparoscopy
perioperative period
anticoagulant therapy
url https://consilium.orscience.ru/2075-1753/article/viewFile/430426/pdf
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AT valeriymafanasiev perforativeduodenalulcerinapatientintheacuteperiodofischemicstrokecasereport
AT antoninavsmolkina perforativeduodenalulcerinapatientintheacuteperiodofischemicstrokecasereport
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