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KMID : 0882420110810010089
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Korean Journal of Medicine
2011 Volume.81 No. 1 p.89 ~ p.92
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A Case of Abdominal Abscess Mimicking a Tumor Caused by a Perforated Gastric Ulcer
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Yu Jung-Hwan
Jang Sung-Ill
Park Jung-Soo
Jung Kyo-Tae
Kim Joo-Hee
Kim Ja-Kyung
Lee Kwan-Sik
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Abstract
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Gastric ulcer perforation usually results in panperitonitis, which requires surgical treatment. A peritoneal abscess also can occur with gastric ulcer perforation, but it is not a common complication of peptic ulcer disease. Here, we report a peritoneal abscess that mimicked a tumor and was caused by a gastric ulcer and provide a literature review. A 57-year-old woman was admitted to our hospital for evaluation of an abdominal mass found in another hospital, with no signs of infection. She underwent a left lobectomy of the liver due to choledocholithiasis. Abdominal computed tomography (CT) revealed a heterogeneous mass attached to the antrum of the stomach. At endoscopy, we confirmed that the gastric ulcer at the antrum of the stomach caused the abscess. After 4 weeks of antibiotics and proton pump inhibitor treatment, she was cured. In a patient with abdominal pain and a peritoneal abscess of unknown cause, the possibility of peptic ulcer perforation should be considered.
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KEYWORD
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Gastric ulcer, Perforation, Abscess
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