Perforated peptic ulcer (PPU) in pregnancy during Ramadan fasting
Perforated Peptic Ulcer (PPU) is extremely rare in pregnancy. We report a case of perforated peptic ulcer in pregnancy during Ramadan fasting. The patient is a 16 years old primigravida who presented with features of peritonitis at 28weeks of gestation while fasting during Ramadan. Ultrasound scan r...
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| Veröffentlicht in: | Nigerian journal of medicine 2011-04, Vol.20 (2), p.292-293 |
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| container_title | Nigerian journal of medicine |
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| creator | Gali, B M Ibrahim, A G Chama, C M Mshelia, H B Abubakar, A Takai, I U Takie, U Bwala, S |
| description | Perforated Peptic Ulcer (PPU) is extremely rare in pregnancy. We report a case of perforated peptic ulcer in pregnancy during Ramadan fasting.
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.
Perforated Peptic Ulcer(PPU) though rare in pregnancy can occur and fasting can be a risk factor. |
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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.
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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.
Perforated Peptic Ulcer(PPU) though rare in pregnancy can occur and fasting can be a risk factor.</description><subject>Adolescent</subject><subject>Fasting - adverse effects</subject><subject>Female</subject><subject>Humans</subject><subject>Islam</subject><subject>Laparotomy</subject><subject>Peptic Ulcer Perforation - etiology</subject><subject>Peptic Ulcer Perforation - surgery</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - etiology</subject><subject>Pregnancy Complications - surgery</subject><subject>Pregnancy Outcome</subject><subject>Treatment Outcome</subject><issn>1115-2613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1j8tqwzAURLVoaUKaXyjatV0YpCvLkZch9AWBmtKszdUruNiyKtmL_H0DTWZzGDgMzA1Zcs5lARUXC7LO-YedU9YgJNyRBfB6w6BUS7JtXPJjwslZGl2cOkPn3rhEn5rm8Ey7QGNyx4DBnKidUxeO9AsHtBioxzyd-z259dhnt75wRQ6vL9-792L_-fax2-6LyEFOhVTWltobJmoBeqN9JSQTDri0qBSrgDH0hltAUFYYqZWSBlmpSi298EKsyOP_bkzj7-zy1A5dNq7vMbhxzq2qKwmyrtTZfLiYsx6cbWPqBkyn9vpa_AFDvlHy</recordid><startdate>201104</startdate><enddate>201104</enddate><creator>Gali, B M</creator><creator>Ibrahim, A G</creator><creator>Chama, C M</creator><creator>Mshelia, H B</creator><creator>Abubakar, A</creator><creator>Takai, I U</creator><creator>Takie, U</creator><creator>Bwala, S</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201104</creationdate><title>Perforated peptic ulcer (PPU) in pregnancy during Ramadan fasting</title><author>Gali, B M ; Ibrahim, A G ; Chama, C M ; Mshelia, H B ; Abubakar, A ; Takai, I U ; Takie, U ; Bwala, S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p125t-58dd4bfc03932b7bf63503e215da8806200afc1d2a28d3c5b885ca0484b5f3f33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Fasting - adverse effects</topic><topic>Female</topic><topic>Humans</topic><topic>Islam</topic><topic>Laparotomy</topic><topic>Peptic Ulcer Perforation - etiology</topic><topic>Peptic Ulcer Perforation - surgery</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - etiology</topic><topic>Pregnancy Complications - surgery</topic><topic>Pregnancy Outcome</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gali, B M</creatorcontrib><creatorcontrib>Ibrahim, A G</creatorcontrib><creatorcontrib>Chama, C M</creatorcontrib><creatorcontrib>Mshelia, H B</creatorcontrib><creatorcontrib>Abubakar, A</creatorcontrib><creatorcontrib>Takai, I U</creatorcontrib><creatorcontrib>Takie, U</creatorcontrib><creatorcontrib>Bwala, S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Nigerian journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gali, B M</au><au>Ibrahim, A G</au><au>Chama, C M</au><au>Mshelia, H B</au><au>Abubakar, A</au><au>Takai, I U</au><au>Takie, U</au><au>Bwala, S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perforated peptic ulcer (PPU) in pregnancy during Ramadan fasting</atitle><jtitle>Nigerian journal of medicine</jtitle><addtitle>Niger J Med</addtitle><date>2011-04</date><risdate>2011</risdate><volume>20</volume><issue>2</issue><spage>292</spage><epage>293</epage><pages>292-293</pages><issn>1115-2613</issn><abstract>Perforated Peptic Ulcer (PPU) is extremely rare in pregnancy. We report a case of perforated peptic ulcer in pregnancy during Ramadan fasting.
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.
Perforated Peptic Ulcer(PPU) though rare in pregnancy can occur and fasting can be a risk factor.</abstract><cop>Nigeria</cop><pmid>21970248</pmid><tpages>2</tpages></addata></record> |
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| identifier | ISSN: 1115-2613 |
| ispartof | Nigerian journal of medicine, 2011-04, Vol.20 (2), p.292-293 |
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| language | eng |
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| source | MEDLINE; Medknow Open Access Medical Journals; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Adolescent Fasting - adverse effects Female Humans Islam Laparotomy Peptic Ulcer Perforation - etiology Peptic Ulcer Perforation - surgery Pregnancy Pregnancy Complications - etiology Pregnancy Complications - surgery Pregnancy Outcome Treatment Outcome |
| title | Perforated peptic ulcer (PPU) in pregnancy during Ramadan fasting |
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