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Ulcère Perforé-Bouché: A Case Report
Navkiran Randhawa1, Toral Shastri2, Misha Shah2
1Franciscan Health Olympia Fields, Olympia Fields, Illinois.
A perforated peptic ulcer is a serious condition, often presenting without symptoms. This case highlights a contained perforation (Ulcère Perforé-Bouché) and the diagnostic value of CT scans over X-rays.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Peptic ulcer disease (PUD) involves breaks in the gastric or duodenal mucosa.
- While often presenting with dyspepsia, PUD is frequently asymptomatic initially.
- Perforated peptic ulcer is a critical complication demanding immediate surgical intervention due to high mortality.
Observation:
- A unique case of a contained perforated duodenal ulcer within a fistula tract, termed Ulcère Perforé-Bouché, is presented.
- Standard abdominal X-rays may fail to detect this specific type of perforation.
- Oral contrast-enhanced computed tomography (CT) of the abdomen demonstrated superior diagnostic capability.
Findings:
- The case successfully utilized advanced imaging for diagnosis.
- The Ulcère Perforé-Bouché was detected and subsequently treated.
- CT imaging proved more effective than radiography for this condition.
Implications:
- Early and accurate diagnosis of peptic ulcer complications is crucial for timely management.
- Oral contrast CT should be considered for diagnosing contained perforated peptic ulcers.
- Improved diagnostic strategies can reduce morbidity and mortality associated with perforated peptic ulcers.
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