Resumen

AGUILA GOMEZ, Mauricio Vicente  y  NAVA CORDERO, Karim. GASTRIC ULCER PERFORATED WHICH PATH TO FOLLOW?: REPORT OF A CASE AND REVIEW OF THE LITERATURE. Rev. Méd. La Paz [online]. 2015, vol.21, n.2, pp.54-59. ISSN 1726-8958.

Objective: To present a case of gastric ulcer perforated classification, therapeutic means; immediate results and long-term impact. Venue: Municipal Hospital Los Pinos, second level La Paz, Bolivia Design: presentation of clinical case introduction: gastric ulcer is circumscribed tissue loss, occurs in labile areas exposed to gastric juice clinical case: 78-year-old female patient, imaging and laboratory, evidence box compatible with gastric ulcer perforated. Held resection of edges of the ulcer for biopsy, suture of ulcer and patch of omentum. The report compatible with intestinal metaplasia and regenerative hyperplasia, atypical gastric mucosa pathological fragments. Apply for upper endoscopy reports: erosive gastritis and biopsy for H. Pylori (+). Begins treatment for eradication, new endoscopic control which is normal and biopsy for H. Pylori (-). Discussion: Basic studies; as x-ray of thorax or abdomen remains effective in the diagnosis of this entity. Surgery can be open or laparoscopic but clinical status and disease mobility dictate that procedure followed, also must be eradicated H. pylori, because he is associated gastric ulcer in 70%.

Palabras clave : ulcer gastric; acute abdomen; suture ulcer.

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