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Exsanguinated to death by a perforated duodenal ulcer: Masquerader apprehended on autopsy
Priyanka Mishra1, Nidhin Rehman1, Suvradeep Mitra2
1Department of Pathology, Command Hospital, Lucknow, Uttar Pradesh, India.
Abstract:
Gastroduodenal perforation commonly due to spontaneous perforation of a pre-existing peptic ulcer is a surgical emergency. On laparotomy, approximately 60%-70% perforations are duodenal and 15%-20% gastric. The most prevalent etiology are Helicobacter pylori infection in 65%-70% and non-steroidal anti-inflammatory drugs (NSAIDS) abuse in 30%-50% cases depending on the prevalence of H. pylori infection. We report here the autopsy findings in a 29-year-old male who collapsed suddenly in the emergency room of our hospital after a bout of massive hematemesis.
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