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Hemorrhagic Ascites Due to Perforated Duodenal Ulcer: Report of a Case

Hemorrhagic Ascites Due to Perforated Duodenal Ulcer: Report of a Case Abstract Only rarely do nonmalignant diseases produce hemorrhagic ascites. Among such benign causes are portal cirrhosis,1 pancreatitis,2 and portal vein thrombosis. The following report describes a patient with hemorrhagic ascites due to a perforated duodenal ulcer with spontaneous localization. This complication of peptic ulcer is not mentioned in the recent literature or standard textbooks of gastroenterology. Report of Case The patient was a 48-year-old white man who entered the Portland, Ore., Veterans Administration Hospital on Aug. 19, 1957, with the chief complaint of abdominal swelling. He had been perfectly well until May, 1957, when he noted mild lower abdominal pain for one day. A similar episode occurred in early July, and in mid-July the pain recurred and was persistent. It was mildly cramping, made worse by eating, and improved slightly after defecation. Normally the patient had two formed stools daily, but with the development of the pain he passed References 1. Mandel, W., and Remenchik, A.: Hemorrhagic Ascitic Fluid in Cirrhosis of the Liver , Gastroenterology 27:231, 1954. 2. Smith, E. B.: Hemorrhagic Ascites and Hemothorax Associated with Benign Pancreatic Disease , A.M.A. Arch. Surg. 67:52, 1953.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Internal Medicine American Medical Association

Hemorrhagic Ascites Due to Perforated Duodenal Ulcer: Report of a Case

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References (2)

Publisher
American Medical Association
Copyright
Copyright © 1960 American Medical Association. All Rights Reserved.
ISSN
0888-2479
DOI
10.1001/archinte.1960.00270130121015
Publisher site
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Abstract

Abstract Only rarely do nonmalignant diseases produce hemorrhagic ascites. Among such benign causes are portal cirrhosis,1 pancreatitis,2 and portal vein thrombosis. The following report describes a patient with hemorrhagic ascites due to a perforated duodenal ulcer with spontaneous localization. This complication of peptic ulcer is not mentioned in the recent literature or standard textbooks of gastroenterology. Report of Case The patient was a 48-year-old white man who entered the Portland, Ore., Veterans Administration Hospital on Aug. 19, 1957, with the chief complaint of abdominal swelling. He had been perfectly well until May, 1957, when he noted mild lower abdominal pain for one day. A similar episode occurred in early July, and in mid-July the pain recurred and was persistent. It was mildly cramping, made worse by eating, and improved slightly after defecation. Normally the patient had two formed stools daily, but with the development of the pain he passed References 1. Mandel, W., and Remenchik, A.: Hemorrhagic Ascitic Fluid in Cirrhosis of the Liver , Gastroenterology 27:231, 1954. 2. Smith, E. B.: Hemorrhagic Ascites and Hemothorax Associated with Benign Pancreatic Disease , A.M.A. Arch. Surg. 67:52, 1953.Crossref

Journal

A.M.A. Archives of Internal Medicine – American Medical Association

Published: Jan 1, 1960

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