Department of Surgery Jars

17- Perforated Peptic Ulcer of the Stomach.


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Description Perforated Peptic Ulcer of the Stomach.
Author Department of Surgery
Copyright Cairo University - Faculty of Medicine

 

Description
This is a jar that contains a part of the stomach. This is known by the presence of mucosal folds (rugae) and the presence of two lines of omenta on the serosal surface. The specimen shows a rounded perforation about 1 X 1 cm.

Diagnosis
Perforated peptic ulcer of the stomach.

Some possible questions
O: what is meant by peptic ulcer?

A: an ulcer that develops due to exposure to gastric juice.
 

Q: Enumerate the different sites where peptic ulceration may be encountered.
A: Duodenum- stomach- lower end of oesophagus- stomal ulcer- Meckel’s diverticulum.
 

Q: what is the most important pathological finding that differentiates acute from chronic peptic ulcers?
A: Penetration of the muscular coat.
 

Q: Is gastric ulcer disease caused by hypersecretion of acid?
A: No.

Q. What are the common sites of peptic ulcers?

Q. What are the possible complications?

Q. What are the clinical features and differential diagnoses of a perforated peptic ulcer?

Q. What is the management?

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