Perforated duodenal ulcer.
A 49-year-old man was admitted with sudden onset of severe pain in the
epigastrium. Recently, he had taken a course of a non-steroidal
anti-inflammatory drug (NSAID). This had caused indigestion, which had
worsened in the two days prior to his presentation. On examination, the
patient was ill and had a rigid abdomen. The operative photograph shows
a perforated duodenal ulcer. This was oversewn.
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