Adult woman, 46-years-old,
smoker admitted with severe epigastrical pain. - acute abdomen.
Peptic ulcers may
occure in the esophagus, the stomach, duodenum and Meckel`s diverticulum.
Exacerbating factors are e.g. stress, smoking, alcohol, NSAID-steroids and
Helicobacter pylori. The main dangers are gastrointestinal bleeding and perforation
and erodation into other adjacent structures. Perforation may cause pneumoperitoneum
(air between e.g. the diaphragm and liver or outside the bowel wall). Gastric
ulcers usually occurs along the lesser curvature of the stomach and the
pyloric antrum. Benign gastric
ulcers are usually round or oval, with a smooth collar of surrounding
mucosa, which is undermined by the ulcer. Please be aware gastric cancer.
Gastric ulcer at the
greater curvature near the pyloric antrum