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Previous Volume 336:1499 May 22, 1997 Number 21 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Figure 1A.

View larger version (68K): [in this window] [in a new window]   Figure 1. A 48-year-old man who was receiving medical treatment for peptic ulcer disease experienced intense epigastric pain, sudden in onset and without emesis, four hours before admission. On examination, he had rigidity of the abdominal muscles in the epigastrium and tympanicity on percussion in the right upper quadrant. A chest film (Panel A) showed bilateral pneumoperitoneum (arrows). An exploratory laparotomy revealed a perforated duodenal ulcer with callous borders (Panel B). The ulcer was closed with three stitches and an omental patch, and a parietal-cell vagotomy was performed. The patient had an uneventful postoperative course, with no recurrence. D . . . [Full Text of this Article]

 

Related Letters:

Perforated Duodenal Ulcer
de Boer W. A., Molmenti E. P.
Extract | Full Text  
N Engl J Med 1997; 337:1013, Oct 2, 1997. Correspondence

This article has been cited by other articles:

• de Boer, W. A., Molmenti, E. P. (1997). Perforated Duodenal Ulcer. NEJM 337: 1013-1013 [Full Text]