c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Perforated Ulcer: 4

A D V E R T I S E M E N T

   
 

The free air around the IVC is shown.       

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Perforated Ulcer: 5

A D V E R T I S E M E N T

   
 

The free air around the duodenum is shown. Note the thickness of the pyloric area.       

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Perforated Ulcer: 6

A D V E R T I S E M E N T

   

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The possibility of non-operative management was considered, but the presence of peritonitis mandated exploration as the safest choice. The patient was taken to the operating room and the abdomen opened through an upper midline incision.     

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This page was last modified on 8/18/2008.