Perforated Peptic Ulcer
Causes, Symptoms, Diagnosis & Emergency Surgical Management
Advanced Emergency & Digestive Care in Thane – By Dr. Ankur Bhanushali
What Is a Perforated Peptic Ulcer?
A perforated peptic ulcer occurs when an ulcer in the stomach or duodenum creates a hole in the intestinal wall, allowing gastric contents to spill into the abdominal cavity.
This leads to acute peritonitis and is a life-threatening surgical emergency.
Common Causes of Perforated Peptic Ulcer
✔ Long-term use of painkillers (NSAIDs)
✔ Helicobacter pylori infection
✔ Smoking
✔ Excessive alcohol consumption
✔ Severe stress or illness
✔ Delayed ulcer treatment
Symptoms of Perforated Peptic Ulcer
✔ Sudden, severe abdominal pain
✔ Rigid, board-like abdomen
✔ Nausea and vomiting
✔ Fever
✔ Rapid heartbeat
✔ Low blood pressure
Emergency Warning Signs 🚨
🚨 Sudden intense abdominal pain
🚨 Abdominal rigidity
🚨 Signs of shock
🚨 Collapse or fainting
Perforated ulcer requires immediate surgery.
How Is a Perforated Peptic Ulcer Diagnosed?
✔ X-ray abdomen (free air under diaphragm)
✔ CT scan abdomen (gold standard)
✔ Blood tests (infection, electrolytes)
✔ Clinical examination
Emergency Treatment & Stabilization
✔ IV fluids
✔ Broad-spectrum antibiotics
✔ Nasogastric tube insertion
✔ Pain control
✔ Acid suppression therapy
Surgical Treatment Options
✔ Emergency ulcer closure (Graham patch repair)
✔ Laparoscopic or open surgery
✔ Peritoneal lavage
✔ Drain placement
Advantages of Laparoscopic Surgery
✔ Smaller incisions
✔ Less postoperative pain
✔ Faster recovery
✔ Shorter hospital stay
Recovery & Follow-Up
✔ ICU monitoring initially
✔ Gradual oral intake
✔ H. pylori eradication therapy
✔ Lifestyle modification
✔ Regular follow-up
Possible Complications If Untreated
✔ Severe peritonitis
✔ Sepsis
✔ Multi-organ failure
✔ Death
How Can Peptic Ulcer Complications Be Prevented?
✔ Early ulcer diagnosis
✔ Proper medication adherence
✔ Avoid unnecessary painkillers
✔ Quit smoking and alcohol
Why Choose Dr. Ankur Bhanushali?
✔ Expertise in emergency upper GI surgery
✔ Advanced laparoscopic skills
✔ Rapid diagnosis and intervention
✔ Comprehensive critical care support
Aayush Multispeciality Hospital – Full Address
📍 1st Floor, Marigold Apartment
Almeda Road, Panch Pakhdi,
Thane West – 400602,
Maharashtra, India
📞 +91 86910 33033
🌐 https://drankurbhanushali.com
📍 Google Maps: https://maps.app.goo.gl/3Msc7YZqVkV9mQMQ7
Dr. Ankur Surgical Clinic – Full Address
📍 Shop No. 4, Laxmi Krupa Building
Edulji Road, Charai,
Thane West – 400602,
Maharashtra, India
📞 +91 86910 33066
🌐 https://bestsurgeoninthane.com
📍 Google Maps: https://maps.app.goo.gl/XmmGNbgFyhGcqfvV6
