Stomach perforation due to self-treatment of ulcers

Tay NinhAn 83-year-old man was brought to Tay Ninh Xuyen A General Hospital for emergency with severe, critical abdominal pain, pale skin.

On September 3, Doctor Ho Tien Duy, Head of General Surgery Department of Tay Ninh Xuyen A General Hospital, said that the patient suffered from toxic shock, his condition deteriorated with many background such as hypertension, myocardial ischemia. , adrenal insufficiency, diabetes mellitus. He has been using herbal medicine of unknown origin continuously for a long time.

“The patient’s stomach hole is nearly 1.5 cm in size, the laparoscopic team has to sew 5 stitches. If the hospital is late, the progression is more severe, the risk of having to open surgery for stitches,” the doctor said.

Another patient, a 78-year-old male, was admitted to the hospital with severe abdominal pain after several days. Through endoscopy, the doctor discovered a hole of nearly 4 cm, and had to open surgery to cut a part of the perforated stomach.

Doctor Duy said, over the past month, Xuyen A Tay Ninh Hospital has received consecutive cases of intestinal perforation, most commonly perforation of the stomach and duodenum. In most cases, there are episodes of stomach ulcers, treatment is transient by buying self-medication.

Chronic ulcers are common in patients who abuse pain relievers due to arthritis, abuse corticosteroids (often found in herbal medicines of unknown origin) or suffer from long-term stress that causes the stomach to increase acid secretion. Rarely due to malignant cause such as perforated tumor or invasive metastatic tumor. Most patients have had previous episodes of stomach pain, a dull ache, or cramping.

When the intestine is perforated, the patient will feel severe pain in the epigastrium, stabbing pain, spreading throughout the abdomen, unable to breathe in the abdomen with a feeling of nausea.

According to Dr. Duy, this is a disease that requires urgent surgery. However, many people are now afraid to go to the hospital due to fear of contracting Covid, making the situation worse. Patients who came to the hospital early within 6-12 hours after the onset of pain were successfully sutured, and discharged 5-7 days later.

Patients who come to the hospital late, digestive juices stay in the abdomen for a long time, will have additional symptoms such as abdominal distention, inability to pass stools, possibly toxic shock such as lethargy, cyanosis, high fever with dry lips and dirty tongue. . At the time of surgery, it may not be possible to sew up with laparoscopic sutures and have to have open surgery for stitches, and after surgery, long-term active resuscitation must be performed, Dr. Duy shared.

Le Cam


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