Gastrointestinal perforation: relation to corticosteroid use and COPD – a case report

Gastrointestinal perforations are a complication of 2–10% of duodenal ulcers. There are a variety of etiologies associated with duodenal ulcer formation and its complications. Corticosteroid use is associated with an increased risk of duodenal ulcer perforation, with the first documented case in 195...

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Main Authors: Michael H.K. Nguyen, Krista M. Isaac, Rebecca Dougherty
Format: Article
Language:English
Published: Greater Baltimore Medical Center 2016-09-01
Series:Journal of Community Hospital Internal Medicine Perspectives
Subjects:
Online Access:http://www.jchimp.net/index.php/jchimp/article/view/32129/pdf_202
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author Michael H.K. Nguyen
Krista M. Isaac
Rebecca Dougherty
author_facet Michael H.K. Nguyen
Krista M. Isaac
Rebecca Dougherty
author_sort Michael H.K. Nguyen
collection DOAJ
description Gastrointestinal perforations are a complication of 2–10% of duodenal ulcers. There are a variety of etiologies associated with duodenal ulcer formation and its complications. Corticosteroid use is associated with an increased risk of duodenal ulcer perforation, with the first documented case in 1950. Other important medications associated with perforation include NSAIDS and opioids. Beyond medication, one of the most common disease processes, chronic obstructive pulmonary disease (COPD), has been found to be associated with peptic ulcer disease. Up to 30% of COPD patients have been found to have peptic ulcers, and COPD frequency in peptic ulcer disease is 2–3 times the general population. We herein present a case of an acute duodenal ulcer perforation in a patient receiving corticosteroid treatment for an acute COPD exacerbation.
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spelling doaj.art-ecf995badef543f3b7c8b923c726315a2023-01-02T16:34:03ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662016-09-01641210.3402/jchimp.v6.3212932129Gastrointestinal perforation: relation to corticosteroid use and COPD – a case reportMichael H.K. Nguyen0Krista M. Isaac1Rebecca Dougherty2 Department of Internal Medicine, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA Department of Internal Medicine, Lankenau Medical Center, Philadelphia, PA, USA Department of Internal Medicine, Lankenau Medical Center, Philadelphia, PA, USAGastrointestinal perforations are a complication of 2–10% of duodenal ulcers. There are a variety of etiologies associated with duodenal ulcer formation and its complications. Corticosteroid use is associated with an increased risk of duodenal ulcer perforation, with the first documented case in 1950. Other important medications associated with perforation include NSAIDS and opioids. Beyond medication, one of the most common disease processes, chronic obstructive pulmonary disease (COPD), has been found to be associated with peptic ulcer disease. Up to 30% of COPD patients have been found to have peptic ulcers, and COPD frequency in peptic ulcer disease is 2–3 times the general population. We herein present a case of an acute duodenal ulcer perforation in a patient receiving corticosteroid treatment for an acute COPD exacerbation.http://www.jchimp.net/index.php/jchimp/article/view/32129/pdf_202intestinal perforationsteroidsCOPD exacerbationpeptic ulceracute
spellingShingle Michael H.K. Nguyen
Krista M. Isaac
Rebecca Dougherty
Gastrointestinal perforation: relation to corticosteroid use and COPD – a case report
Journal of Community Hospital Internal Medicine Perspectives
intestinal perforation
steroids
COPD exacerbation
peptic ulcer
acute
title Gastrointestinal perforation: relation to corticosteroid use and COPD – a case report
title_full Gastrointestinal perforation: relation to corticosteroid use and COPD – a case report
title_fullStr Gastrointestinal perforation: relation to corticosteroid use and COPD – a case report
title_full_unstemmed Gastrointestinal perforation: relation to corticosteroid use and COPD – a case report
title_short Gastrointestinal perforation: relation to corticosteroid use and COPD – a case report
title_sort gastrointestinal perforation relation to corticosteroid use and copd a case report
topic intestinal perforation
steroids
COPD exacerbation
peptic ulcer
acute
url http://www.jchimp.net/index.php/jchimp/article/view/32129/pdf_202
work_keys_str_mv AT michaelhknguyen gastrointestinalperforationrelationtocorticosteroiduseandcopdacasereport
AT kristamisaac gastrointestinalperforationrelationtocorticosteroiduseandcopdacasereport
AT rebeccadougherty gastrointestinalperforationrelationtocorticosteroiduseandcopdacasereport