PDF(Pubmed)
Abstract：
Peptic ulcer disease refers to a break in the gastric or duodenal mucosal wall extending into the muscular mucosa. Although peptic ulcer disease commonly presents with dyspepsia, about 70% of patients initially present asymptomatically. A perforated peptic ulcer is a life-threatening complication of peptic ulcer disease that has high morbidity and mortality and requires emergent surgery. To prevent complications of peptic ulcer disease, an extensive history, physical examination, and appropriate imaging are required for appropriate management. In addition, the use of appropriate imaging and diagnostic modalities, such as an oral contrast computerized tomography of the abdomen, may lead to emergent treatment if complications arise. We present a unique case of a contained perforated duodenal ulcer within a fistula tract (Ulcère Perforé-Bouché) and diagnostic tools yielding detection and treatment of an Ulcère Perforé-Bouché. Abdominal x-rays may be inadequate the detect Ulcère Perforé-Bouché. However, an oral contract computerized tomography of the abdomen may have greater detection capabilities to diagnose cases of Ulcère Perforé-Bouché.
摘要：
消化性溃疡疾病是指延伸到肌肉粘膜的胃或十二指肠粘膜壁的破裂。虽然消化性溃疡通常表现为消化不良，约70%的患者最初无症状出现。消化性溃疡穿孔是消化性溃疡疾病的危及生命的并发症,其具有高发病率和死亡率并且需要紧急手术。为了预防消化性溃疡疾病的并发症，广泛的历史，体检,和适当的成像需要适当的管理。此外,使用适当的成像和诊断方式，比如腹部的口腔对比计算机断层扫描，如果出现并发症，可能会导致紧急治疗。我们介绍了瘘管道（UlcèrePerfore-Bouché）内十二指肠溃疡穿孔的独特病例，以及可检测和治疗UlcèrePerfore-Bouché的诊断工具。腹部X射线可能不足以检测UlcèrePerforé-Bouché。然而,腹部的口腔合同计算机断层扫描可能具有更大的检测能力，可以诊断UlcèrePerfore-Bouché的病例。
