Duodenal Peptic Ulcer Perforation in the Puerperium Case Report Series

Peptic ulcers, and complications such as perforation, are rare during pregnancy and the puerperium. Accordingly, many clinicians may place these diagnoses low on their differential diagnosis. We present two case reports of primigravida, advanced maternal age females with history of irritable bowel s...

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Main Authors: Elizabeth Stiles, Andre Robinson, Erin Fitzgerald, Marie Fleury, Andrew Rubenstein
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc.
Series:American Journal of Perinatology Reports
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/a-2533-2017
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author Elizabeth Stiles
Andre Robinson
Erin Fitzgerald
Marie Fleury
Andrew Rubenstein
author_facet Elizabeth Stiles
Andre Robinson
Erin Fitzgerald
Marie Fleury
Andrew Rubenstein
author_sort Elizabeth Stiles
collection DOAJ
description Peptic ulcers, and complications such as perforation, are rare during pregnancy and the puerperium. Accordingly, many clinicians may place these diagnoses low on their differential diagnosis. We present two case reports of primigravida, advanced maternal age females with history of irritable bowel syndrome and nonsteroidal anti-inflammatory drug (NSAID) use found to have perforated duodenal ulcers after Cesarean section. Postpartum surgical abdomens may not present with classic guarding and rigidity. A low threshold for imaging and identification of risk factors are critical to timely diagnosis and management.
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institution Kabale University
issn 2157-6998
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language English
publisher Thieme Medical Publishers, Inc.
record_format Article
series American Journal of Perinatology Reports
spelling doaj-art-0652d10333a14b6fa8f225309554133c2025-02-06T00:27:53ZengThieme Medical Publishers, Inc.American Journal of Perinatology Reports2157-69982157-700510.1055/a-2533-2017Duodenal Peptic Ulcer Perforation in the Puerperium Case Report SeriesElizabeth Stiles0https://orcid.org/0000-0001-5494-3889Andre Robinson1Erin Fitzgerald2Marie Fleury3Andrew Rubenstein4Obstetrics & Gynecology, NYU Langone HealthObstetrics & Gynecology, NYU Langone Health, New York, United StatesGeneral Surgery, NYU Langone Health, New York, United StatesGeneral Surgery, NYU Langone Health, New York, United StatesObstetrics & Gynecology, NYU Langone Health, New York, United StatesPeptic ulcers, and complications such as perforation, are rare during pregnancy and the puerperium. Accordingly, many clinicians may place these diagnoses low on their differential diagnosis. We present two case reports of primigravida, advanced maternal age females with history of irritable bowel syndrome and nonsteroidal anti-inflammatory drug (NSAID) use found to have perforated duodenal ulcers after Cesarean section. Postpartum surgical abdomens may not present with classic guarding and rigidity. A low threshold for imaging and identification of risk factors are critical to timely diagnosis and management.http://www.thieme-connect.de/DOI/DOI?10.1055/a-2533-2017
spellingShingle Elizabeth Stiles
Andre Robinson
Erin Fitzgerald
Marie Fleury
Andrew Rubenstein
Duodenal Peptic Ulcer Perforation in the Puerperium Case Report Series
American Journal of Perinatology Reports
title Duodenal Peptic Ulcer Perforation in the Puerperium Case Report Series
title_full Duodenal Peptic Ulcer Perforation in the Puerperium Case Report Series
title_fullStr Duodenal Peptic Ulcer Perforation in the Puerperium Case Report Series
title_full_unstemmed Duodenal Peptic Ulcer Perforation in the Puerperium Case Report Series
title_short Duodenal Peptic Ulcer Perforation in the Puerperium Case Report Series
title_sort duodenal peptic ulcer perforation in the puerperium case report series
url http://www.thieme-connect.de/DOI/DOI?10.1055/a-2533-2017
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AT andrerobinson duodenalpepticulcerperforationinthepuerperiumcasereportseries
AT erinfitzgerald duodenalpepticulcerperforationinthepuerperiumcasereportseries
AT mariefleury duodenalpepticulcerperforationinthepuerperiumcasereportseries
AT andrewrubenstein duodenalpepticulcerperforationinthepuerperiumcasereportseries