Document Detail

Perforated peptic ulcer (PPU) in pregnancy during Ramadan fasting.
MedLine Citation:
PMID:  21970248     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Perforated Peptic Ulcer (PPU) is extremely rare in pregnancy. We report a case of perforated peptic ulcer in pregnancy during Ramadan fasting.
PATIENT AND METHODS: The patient is a 16 years old primigravida who presented with features of peritonitis at 28weeks of gestation while fasting during Ramadan. Ultrasound scan reported a singleton live fetus at 28 weeks gestation. At laparotomy via upper midline incision; a 1 cm roundish perforation located on the duodenum anteriorly was found with about a litre of gastric juice mixed with blood and food particles in the peritoneal cavity. The perforation was close transversely with omental patch (Modified Graham's patch) and peritoneal lavage done with warm saline. She had a preterm delivery of a 1 kg baby 3 days post-operatively by a spontaneous vaginal delivery, but the baby died 3 days later.
CONCLUSIONS: Perforated Peptic Ulcer(PPU) though rare in pregnancy can occur and fasting can be a risk factor.
B M Gali; A G Ibrahim; C M Chama; H B Mshelia; A Abubakar; I U Takai; U Takie; S Bwala
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria     Volume:  20     ISSN:  1115-2613     ISO Abbreviation:  Niger J Med     Publication Date:    2011 Apr-Jun
Date Detail:
Created Date:  2011-10-05     Completed Date:  2011-11-15     Revised Date:  2012-01-31    
Medline Journal Info:
Nlm Unique ID:  100888321     Medline TA:  Niger J Med     Country:  Nigeria    
Other Details:
Languages:  eng     Pagination:  292-3     Citation Subset:  IM    
Department of Surgery, University of Maiduguri Teaching Hospital, PMB 1414 Maiduguri, Borno State, Nigeria.
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MeSH Terms
Fasting / adverse effects*
Peptic Ulcer Perforation / etiology,  surgery*
Pregnancy Complications / etiology,  surgery*
Pregnancy Outcome
Treatment Outcome
Erratum In:
Niger J Med. 2011 Oct-Dec;20(4):497
Note: Takie, U [corrected to Takai, I U]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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