Perforative duodenal ulcer in a patient in the acute period of ischemic stroke. Case report

Abstract

Perforated duodenal ulcer is a common pathology with fairly high postoperative mortality, especially in late diagnosis. In some cases, timely diagnosis of a perforative ulcer may be difficult and the results of the survey may be contradictory. The classical triad of clinical signs of perforative ulcers is not always observed in patients, sometimes the clinical picture is so unclear that the final diagnosis can only be made intraoperative. The article presents an analysis of the clinical case of difficult diagnosis and treatment of perforative duodenal ulcer in a patient in an acute period of ischemic stroke. In addition, the patient had severe concomitant somatic pathology with a high risk of systemic thromboembolism and at the same time a high risk of bleeding.

Keywords

• perforated duodenal ulcer
• ischemic stroke
• venous thromboembolic complications
• paroxysmal atrial fibrillation
• laparoscopy
• perioperative period
• anticoagulant therapy