Covered perforation

Covered perforation - microperforation of the ulcer with spontaneous closure of the defect by an omentum or an adjacent organ, a piece of food. Typically, the typical onset of the disease, then a sharp change in the clinical picture: a reduction in pain, muscle tension is not sharp, is more often determined in the right iliac region (flowing of the contents along the right lateral canal), there are also positive symptoms of irritation of the peritoneum. When X-ray examination of the abdominal cavity - a sickle of gas under the diaphragm.

Complications: sub-diaphragmatic, subhepatic abscesses, abscess of stuffing bag.

Treatment in the first 2 days - as with a typical perforation; After 2 days with a good general condition of the patient and the absence of peritoneal phenomena, treatment is the same as with a penetrating ulcer.

The prognosis is favorable.