Obstructive jaundice secondary to duodenal ulcer: A case report
Introduction: Peptic ulcers are acid-induced lesions found in the stomach and duodenum. The prevalence of peptic ulcer disease in the United States is estimated to be 8.4%. Objective: Describe an atypical presentation of complicated duodenal ulcer that causes jaundice and review the literature. Case...
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Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2021
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/29786 |
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I10-R10-article-29786 |
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Universidad Nacional de Córdoba |
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Revistas de la UNC |
| language |
Español |
| format |
Artículo revista |
| topic |
duodenal ulcer jaundice surgery endoscopy low back pain úlcera duodenal ictericia cirugía endoscopía dolor de la región lumbar Cirugía General úlcera duodenal ictericia cirugía endoscopia dorlombar |
| spellingShingle |
duodenal ulcer jaundice surgery endoscopy low back pain úlcera duodenal ictericia cirugía endoscopía dolor de la región lumbar Cirugía General úlcera duodenal ictericia cirugía endoscopia dorlombar Bianco, Agustín Yaryura Montero, José Gabriel Gigena, Agustín Ricardo Petersen, María Laura Cafaro, Mario Alberto Cardenas Villa, Roberto Dario Traverso, Rogelio Adrián Obstructive jaundice secondary to duodenal ulcer: A case report |
| topic_facet |
duodenal ulcer jaundice surgery endoscopy low back pain úlcera duodenal ictericia cirugía endoscopía dolor de la región lumbar Cirugía General úlcera duodenal ictericia cirugía endoscopia dorlombar |
| author |
Bianco, Agustín Yaryura Montero, José Gabriel Gigena, Agustín Ricardo Petersen, María Laura Cafaro, Mario Alberto Cardenas Villa, Roberto Dario Traverso, Rogelio Adrián |
| author_facet |
Bianco, Agustín Yaryura Montero, José Gabriel Gigena, Agustín Ricardo Petersen, María Laura Cafaro, Mario Alberto Cardenas Villa, Roberto Dario Traverso, Rogelio Adrián |
| author_sort |
Bianco, Agustín |
| title |
Obstructive jaundice secondary to duodenal ulcer: A case report |
| title_short |
Obstructive jaundice secondary to duodenal ulcer: A case report |
| title_full |
Obstructive jaundice secondary to duodenal ulcer: A case report |
| title_fullStr |
Obstructive jaundice secondary to duodenal ulcer: A case report |
| title_full_unstemmed |
Obstructive jaundice secondary to duodenal ulcer: A case report |
| title_sort |
obstructive jaundice secondary to duodenal ulcer: a case report |
| description |
Introduction: Peptic ulcers are acid-induced lesions found in the stomach and duodenum. The prevalence of peptic ulcer disease in the United States is estimated to be 8.4%.
Objective: Describe an atypical presentation of complicated duodenal ulcer that causes jaundice and review the literature.
Case presentation: A 42-year-old male patient, who consulted for generalized jaundice and coluria, associated with low back pain treated with non-steroidal anti-inflammatory drugs. In the laboratory, total bilirubin increased to direct prevalence. A magnetic resonance cholangiography was performed that revealed duodenal thickening, with a decrease in its lumen; and a double contrast computed tomography, where thickening of the duodenal walls was observed, without oral contrast leakage. Subsequently, an upper digestive video-endoscopy was performed where a 30 mm duodenal bulb ulcer was observed. The patient presented good evolution with medical treatment, being discharged on the fifth day of hospitalization.
Discussion: Jaundice can be caused by a duodenal ulcer that causes obstruction of the common bile duct. Medical treatment may specify in selected patients. In the present case, it was established to opt for medical treatment since the patient presented hemodynamic stability, without signs of generalized peritonitis, with complementary studies in favor of a contained duodenal ulcer without free air.
Conclusion: We are dealing with a case of duodenal ulcer complicated with jaundice that presented good evolution with medical treatment.
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| publisher |
Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2021 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/29786 |
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I10-R10-article-297862021-12-29T20:15:49Z Obstructive jaundice secondary to duodenal ulcer: A case report Ictericia obstructiva secundaria a úlcera duodenal: A propósito de un caso Icterícia obstrutiva secundária à úlcera duodenal: relato de caso. Bianco, Agustín Yaryura Montero, José Gabriel Gigena, Agustín Ricardo Petersen, María Laura Cafaro, Mario Alberto Cardenas Villa, Roberto Dario Traverso, Rogelio Adrián duodenal ulcer jaundice surgery endoscopy low back pain úlcera duodenal ictericia cirugía endoscopía dolor de la región lumbar Cirugía General úlcera duodenal ictericia cirugía endoscopia dorlombar Introduction: Peptic ulcers are acid-induced lesions found in the stomach and duodenum. The prevalence of peptic ulcer disease in the United States is estimated to be 8.4%. Objective: Describe an atypical presentation of complicated duodenal ulcer that causes jaundice and review the literature. Case presentation: A 42-year-old male patient, who consulted for generalized jaundice and coluria, associated with low back pain treated with non-steroidal anti-inflammatory drugs. In the laboratory, total bilirubin increased to direct prevalence. A magnetic resonance cholangiography was performed that revealed duodenal thickening, with a decrease in its lumen; and a double contrast computed tomography, where thickening of the duodenal walls was observed, without oral contrast leakage. Subsequently, an upper digestive video-endoscopy was performed where a 30 mm duodenal bulb ulcer was observed. The patient presented good evolution with medical treatment, being discharged on the fifth day of hospitalization. Discussion: Jaundice can be caused by a duodenal ulcer that causes obstruction of the common bile duct. Medical treatment may specify in selected patients. In the present case, it was established to opt for medical treatment since the patient presented hemodynamic stability, without signs of generalized peritonitis, with complementary studies in favor of a contained duodenal ulcer without free air. Conclusion: We are dealing with a case of duodenal ulcer complicated with jaundice that presented good evolution with medical treatment. Introducción: Las úlceras pépticas son lesiones inducidas por el ácido que se encuentran en el estómago y el duodeno. La prevalencia de la enfermedad de úlcera péptica en los Estados Unidos se estima en 8.4%. Objetivo: Describir una forma de presentación atípica de úlcera duodenal complicada que ocasiona ictericia y realizar una revisión de la literatura. Caso clínico: Paciente masculino de 42 años, que consultó por ictericia generalizada y coluria, asociado a dolor lumbar en tratamiento con antiinflamatorios no esteroideos. En el laboratorio presentaba, bilirrubina total aumentada a predomino directa. Se le realizo una colangiografía por resonancia magnética que reveló engrosamiento duodenal, con disminución de su luz; y una tomografía computada con doble contraste, donde se objetivó engrosamiento en las paredes duodenales, sin fuga de contraste oral. Posteriormente se realizó una video-endoscopía digestiva alta donde se objetivó una úlcera en bulbo duodenal de 30 mm. El paciente presento buena evolución con tratamiento médico, siendo otorgada el alta al quinto día de internación. Discusión: La ictericia puede ser ocasionada por una úlcera duodenal que ocasione la obstrucción del conducto biliar común. El tratamiento médico puede realizarse en pacientes seleccionados. En el presente caso se decidió optar por el tratamiento médico dado que el paciente presentaba estabilidad hemodinámica, sin signos de peritonitis generalizada, con estudios complementarios en favor de una úlcera duodenal contenida sin aire libre. Conclusión: Nos encontramos ante un caso de úlcera duodenal complicada con ictericia que presento buena evolución con tratamiento médico. Introdução: As úlceras pépticas são lesões induzidas por ácido encontradas no estômago e no duodeno. A prevalência de úlcera péptica nos Estados Unidos é estimada em 8,4%. Objetivo: Descreva uma apresentação atípica da úlcera duodenal complicada que causa icterícia e revise a literatura. Caso clínico: Paciente do sexo masculino, 42 anos, consultado para icterícia e colúria generalizada, associado à dor lombar tratada comanti-inflamatórios não esteróides. No laboratório, a bilirrubina total aumentou para a prevalencia direta. Foi realizada colangiografia por ressonância magnética que revelo u espessamento duodenal, com diminuição de seu lúmen; e tomografia computadorizada com duplo contraste, onde se observo u espessamento das paredes duodenais, sem vazamento de contraste oral. Posteriormente, foi realizada uma videoendoscopia digestiva alta, onde foi observada uma úlcera com bulbo duodenal de 30 mm. O paciente apresento u boa evolução com tratamento médico, recebendo alta no quinto dia de internação. Discussão: A icterícia pode ser causada por uma úlcera duodenal que causa obstrução do ducto biliar com um. O tratamento médico pode ser realizado em pacientes selecionados. No presente caso, optou-se pelo tratamento médico, pois o paciente apresentava estabilidade hemodinâmica, sem sinais de peritonite generalizada, com estudos complementares a favor de uma úlcera duodenal contidasem ar livre. Conclusão: Estamos lidando com um caso de úlcera duodenal complicada com icterícia que apresento u boa evolução com tratamento médico. Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-06-28 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/29786 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. 2 (2021); 180-183 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. 2 (2021); 180-183 Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. 2 (2021); 180-183 1853-0605 0014-6722 10.31053/1853.0605.v78.n2 spa https://revistas.unc.edu.ar/index.php/med/article/view/29786/33917 https://revistas.unc.edu.ar/index.php/med/article/view/29786/33449 Derechos de autor 2021 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |