Autor: |
Dumont A; Service des Urgences, CHC Mont Légia, Belgique., Deeba A; Service des Urgences, CHC Mont Légia, Belgique. |
Jazyk: |
francouzština |
Zdroj: |
Revue medicale de Liege [Rev Med Liege] 2024 Jul; Vol. 79 (7-8), pp. 489-491. |
Abstrakt: |
Duodenal ulcer perforation in patients undergoing gastric bypass surgery is a rare late complication, occurring in less than 1% of cases. It carries a high mortality risk, particularly in cases of delayed diagnosis. The challenge lies in an unspecific clinical presentation and laboratory findings, as well as a CT scan not very helpful in almost half of cases. These features may lead to the consideration of other differential diagnoses, such as pancreatitis or cholecystitis. A multidisciplinary approach in collaboration with digestive surgeons is essential to enable rapid exploratory laparoscopy in presence of diagnostic uncertainty, and appropriate therapeutic management. |
Databáze: |
MEDLINE |
Externí odkaz: |
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