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...
Saved in:
Main Authors: | , , , , |
---|---|
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 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
_version_ | 1832087903329583104 |
---|---|
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. |
format | Article |
id | doaj-art-0652d10333a14b6fa8f225309554133c |
institution | Kabale University |
issn | 2157-6998 2157-7005 |
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 |
work_keys_str_mv | AT elizabethstiles duodenalpepticulcerperforationinthepuerperiumcasereportseries AT andrerobinson duodenalpepticulcerperforationinthepuerperiumcasereportseries AT erinfitzgerald duodenalpepticulcerperforationinthepuerperiumcasereportseries AT mariefleury duodenalpepticulcerperforationinthepuerperiumcasereportseries AT andrewrubenstein duodenalpepticulcerperforationinthepuerperiumcasereportseries |