Perforative duodenal ulcer in a patient in the acute period of ischemic stroke. Case report
- Authors: Abramov D.V.1,2, Zubarev A.P.2, Afanasiev V.M.2, Smolkina A.V.1, Karimova E.A.2
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Affiliations:
- Ulyanovsk State University
- Ulyanovsk Regional Clinical Hospital for War Veterans
- Issue: Vol 25, No 5 (2023): Gastroenterology
- Pages: 357-360
- Section: Articles
- URL: https://journals.rcsi.science/2075-1753/article/view/131680
- DOI: https://doi.org/10.26442/20751753.2023.5.202247
- ID: 131680
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Abstract
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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##article.viewOnOriginalSite##About the authors
Dmitriy V. Abramov
Ulyanovsk State University; Ulyanovsk Regional Clinical Hospital for War Veterans
Author for correspondence.
Email: dmdockap@gmail.com
ORCID iD: 0009-0006-4326-0904
SPIN-code: 8143-4544
Assistant
Russian Federation, Ulyanovsk; UlyanovskAlexander P. Zubarev
Ulyanovsk Regional Clinical Hospital for War Veterans
Email: uokgvv@mz73.ru
Cand. Sci. (Med.)
Russian Federation, UlyanovskValeriy M. Afanasiev
Ulyanovsk Regional Clinical Hospital for War Veterans
Email: uokgvv@mz73.ru
Department Head
Russian Federation, UlyanovskAntonina V. Smolkina
Ulyanovsk State University
Email: Smolant1@yandex.ru
ORCID iD: 0000-0001-5140-7757
D. Sci. (Med.), Prof.
Russian Federation, UlyanovskElmira A. Karimova
Ulyanovsk Regional Clinical Hospital for War Veterans
Email: uokgvv@mz73.ru
ORCID iD: 0009-0008-1977-2269
Cand. Sci. (Med.)
Russian Federation, UlyanovskReferences
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