A Case of Abdominal Abscess Mimicking a Tumor Caused by a Perforated Gastric Ulcer / 대한내과학회지
Korean Journal of Medicine
; : 89-92, 2011.
Article
in Ko
| WPRIM
| ID: wpr-131167
Responsible library:
WPRO
ABSTRACT
Gastric ulcer perforation usually results in panperitonitis, which requires surgical treatment. A peritoneal abscess also can occur with gastric ulcer perforation, but it is not a common complication of peptic ulcer disease. Here, we report a peritoneal abscess that mimicked a tumor and was caused by a gastric ulcer and provide a literature review. A 57-year-old woman was admitted to our hospital for evaluation of an abdominal mass found in another hospital, with no signs of infection. She underwent a left lobectomy of the liver due to choledocholithiasis. Abdominal computed tomography (CT) revealed a heterogeneous mass attached to the antrum of the stomach. At endoscopy, we confirmed that the gastric ulcer at the antrum of the stomach caused the abscess. After 4 weeks of antibiotics and proton pump inhibitor treatment, she was cured. In a patient with abdominal pain and a peritoneal abscess of unknown cause, the possibility of peptic ulcer perforation should be considered.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Peptic Ulcer
/
Peptic Ulcer Perforation
/
Stomach
/
Stomach Ulcer
/
Abdominal Pain
/
Proton Pumps
/
Abdominal Abscess
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Choledocholithiasis
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Abscess
/
Endoscopy
Limits:
Female
/
Humans
Language:
Ko
Journal:
Korean Journal of Medicine
Year:
2011
Type:
Article