Combination of duodenal ulcer perforation along with bleeding, penetration and stenosis

This article considers a clinical case of a combination of four complications of duodenal ulcer. Against the background of chronic complications of penetrating ulcer and decompensated duodenostenosis, two acute complications were simultaneously observed - perforation of the ulcer and bleeding from it into the lumen of the GI tract and abdominal cavity. A prolonged course of the disease and the absence of timely surgical treatment of penetrating stenotic ulcer were the reasons for the simultaneous development of two acute complications of duodenal ulcer. Against the background of the severe general condition of the patient, caused by decompensated stenosis with profound homeostasis disorders, alimentary dystrophy, widespread purulent-fibrinous peritonitis and hemoperitoneum, suturing of the perforating ulcer was a necessary operation. At the second stage, it is recommended to perform radical surgery as a planned procedure.