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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Autores principales: Bianco, Agustín, Yaryura Montero, José Gabriel, Gigena, Agustín Ricardo, Petersen, María Laura, Cafaro, Mario Alberto, Cardenas Villa, Roberto Dario, Traverso, Rogelio Adrián
Formato: Artículo revista
Lenguaje:Español
Publicado: 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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id I10-R10article-29786
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-10
container_title_str 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.  
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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