Moreover, if any signs and symptoms of generalized peritonitis are absent and the perforation site has sealed spontaneously, then a perforated duodenal ulcer can be treated with non-surgical procedures.
c Perforation site in the horizontal duodenum.
b Perforation site in the horizontal duodenum.
Abdominal lavage and postoperative ERBD were sufficient when no perforation site was detected.
If intraoperative cholangiography was performed, it might have helped to detect the perforation site.
Extra-luminal air and faecalomas protruding through a perforation site indicate perforation.
Histopathological examination revealed neutrophil infiltration and fibrinous deposits near the perforation site (Fig. 2).
c Tumor cells are horizontally infiltrating the subserosal layer of the jejunum around the perforation site.
Macroscopic inspection revealed no obvious injury, ulcer, or tumor at or around the perforation site.
A 50-cm-long segment of jejunum, including the perforation site, was surgically removed.
Interestingly, tumor cells were horizontally infiltrating within the subserosal layer of the jejunum around the perforation site (Fig. 3c).
