Treatment of subhepatic abscess due to complicated perforation of gastric ulcer
https://doi.org/10.31146/1682-8658-ecg-174-2-95-98
Abstract
Formation of abdominal abscesses with perforated ulcers of the stomach and duodenum with conservative treatment ranges from 3% to 14%. The main strategy for their treatment is a minimally invasive puncture treatment. A case of a patient’s late treatment of 56 years with a perforated giant gastric ulcer, the formation of a subhepatic abscess and its drainage into the lumen of the stomach is presented. Used methods of drainage of an abscess through a mini-access under the control of gastroscopy. A complex of therapeutic measures has been described, which allowed for the obliteration of an abscess cavity and the healing of a giant stomach ulcer within a month. It is concluded that the need for early use of gastroscopy in the differential diagnosis of perforated ulcers.
About the Authors
A. G. Korotkevich
Novokuznetsk State Institute for Further Training of Physicians — Branch Campus of the Federal State Budgetary Educational Institution of Further Professional Education “Russian Medical Academy of Continuous Professional Education” of the Ministry of Healthcare of the Russian Federation; Novokuznetsk City Clinical Hospital № 29
Russian Federation
Russian Federation
S. A. Yaroshchuk
Novokuznetsk City Clinical Hospital № 29
Russian Federation
Russian Federation
A. S. Leontyev
Novokuznetsk State Institute for Further Training of Physicians — Branch Campus of the Federal State Budgetary Educational Institution of Further Professional Education “Russian Medical Academy of Continuous Professional Education” of the Ministry of Healthcare of the Russian Federation; Novokuznetsk City Clinical Hospital № 29
Russian Federation
Russian Federation
S. A. May
Novokuznetsk City Clinical Hospital № 29
Russian Federation
Russian Federation
A. A. Bersenev
Novokuznetsk City Clinical Hospital № 29
Russian Federation
Russian Federation
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Review
For citations:
Korotkevich A.G., Yaroshchuk S.A., Leontyev A.S., May S.A., Bersenev A.A. Treatment of subhepatic abscess due to complicated perforation of gastric ulcer. Experimental and Clinical Gastroenterology. 2020;174(2):95-98. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-174-2-95-98
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