Perforation of the stomach, duodenum, gall bladder, intestines, esophagus
. Perforation of a hollow organ is a serious complication that leads to the development of peritonitis or mediastinitis (perforation of the esophagus). In such cases, it is urgent to carry out diagnostics and surgical treatment, as not an hour should be lost. Most men are subject to perforation.
Most often, perforation of the stomach and duodenum occurs with peptic ulcer. In addition, the cause may be a tumor, a foreign body.
Symptoms and course:At the time of perforation, a sharp abdominal pain ("dagger") appears, which is localized in the epigastralpic region (under the spoon) and the right hypochondrium. The patient is pale, his tongue is dry, shortness of breath is noted. Typically, the patient is on his side with his knees drawn to his stomach. The abdominal wall is tense, a "board-like" abdomen is characteristic due to the tension of its rectus muscles. On palpation, there is a sharp pain in the upper abdomen more on the right, positive symptoms of peritoneal irritation. These patients are subject to immediate hospitalization and surgical treatment.
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