A Rare Case of Gastric Ulcer Penetrating the Pancreas that was Successfully Managed by Conservative Therapy

A 62-year-old woman was admitted to our hospital with septic shock due to left submandibular osteomyelitis and cellulitis. Her condition improved following tooth extraction, drainage, and the administration of antibiotics. However, on the 4th day of hospitalization, she went into hemorrhagic shock a...

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Detalles Bibliográficos
Autores principales: Shibukawa, Narihiro, Ouchi, Shohei, Wakamatsu, Shuji, Wakahara, Yuhei, Tatsumi, Nobuyuki, Kaneko, Akira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5635298/
https://www.ncbi.nlm.nih.gov/pubmed/28794357
http://dx.doi.org/10.2169/internalmedicine.8188-16
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author Shibukawa, Narihiro
Ouchi, Shohei
Wakamatsu, Shuji
Wakahara, Yuhei
Tatsumi, Nobuyuki
Kaneko, Akira
author_facet Shibukawa, Narihiro
Ouchi, Shohei
Wakamatsu, Shuji
Wakahara, Yuhei
Tatsumi, Nobuyuki
Kaneko, Akira
author_sort Shibukawa, Narihiro
collection PubMed
description A 62-year-old woman was admitted to our hospital with septic shock due to left submandibular osteomyelitis and cellulitis. Her condition improved following tooth extraction, drainage, and the administration of antibiotics. However, on the 4th day of hospitalization, she went into hemorrhagic shock after defecating a massive tarry stool. Emergency esophagogastroduodenoscopy (EGD) was performed. We found a giant ulcer at the antral greater curvature of the stomach. Computed tomography (CT) revealed that the gastric ulcer had penetrated the pancreas. She had no signs of peritonitis and had a bad general condition. She was therefore managed solely by conservative therapy. She recovered within days.
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spelling pubmed-56352982017-10-12 A Rare Case of Gastric Ulcer Penetrating the Pancreas that was Successfully Managed by Conservative Therapy Shibukawa, Narihiro Ouchi, Shohei Wakamatsu, Shuji Wakahara, Yuhei Tatsumi, Nobuyuki Kaneko, Akira Intern Med Case Report A 62-year-old woman was admitted to our hospital with septic shock due to left submandibular osteomyelitis and cellulitis. Her condition improved following tooth extraction, drainage, and the administration of antibiotics. However, on the 4th day of hospitalization, she went into hemorrhagic shock after defecating a massive tarry stool. Emergency esophagogastroduodenoscopy (EGD) was performed. We found a giant ulcer at the antral greater curvature of the stomach. Computed tomography (CT) revealed that the gastric ulcer had penetrated the pancreas. She had no signs of peritonitis and had a bad general condition. She was therefore managed solely by conservative therapy. She recovered within days. The Japanese Society of Internal Medicine 2017-08-10 2017-09-01 /pmc/articles/PMC5635298/ /pubmed/28794357 http://dx.doi.org/10.2169/internalmedicine.8188-16 Text en Copyright © 2017 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Shibukawa, Narihiro
Ouchi, Shohei
Wakamatsu, Shuji
Wakahara, Yuhei
Tatsumi, Nobuyuki
Kaneko, Akira
A Rare Case of Gastric Ulcer Penetrating the Pancreas that was Successfully Managed by Conservative Therapy
title A Rare Case of Gastric Ulcer Penetrating the Pancreas that was Successfully Managed by Conservative Therapy
title_full A Rare Case of Gastric Ulcer Penetrating the Pancreas that was Successfully Managed by Conservative Therapy
title_fullStr A Rare Case of Gastric Ulcer Penetrating the Pancreas that was Successfully Managed by Conservative Therapy
title_full_unstemmed A Rare Case of Gastric Ulcer Penetrating the Pancreas that was Successfully Managed by Conservative Therapy
title_short A Rare Case of Gastric Ulcer Penetrating the Pancreas that was Successfully Managed by Conservative Therapy
title_sort rare case of gastric ulcer penetrating the pancreas that was successfully managed by conservative therapy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5635298/
https://www.ncbi.nlm.nih.gov/pubmed/28794357
http://dx.doi.org/10.2169/internalmedicine.8188-16
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