[Skip to Content]
[Skip to Content Landing]
Article
October 1942

PERITONEAL FLUID AND GASTRIC CONTENTS IN CASES OF PERFORATED PEPTIC ULCER

Author Affiliations

DETROIT
From the Department of Surgery, Wayne University College of Medicine, and the City of Detroit Receiving Hospital.

Arch Surg. 1942;45(4):564-570. doi:10.1001/archsurg.1942.01220040060007
Abstract

Few real surgical emergencies remain, but perforation of a peptic ulcer must be classed as one of the conditions demanding immediate surgical therapy. Much has been written on this subject, but there would seem to be a place for a more fundamental approach toward the bacteriologic and chemical problems involved. Perusal of the literature reveals a predominance of papers dealing with statistics or with points of technic rather than planned studies. It is the purpose of this paper to present data obtained from observations on a number of patients with benign ulcers of the stomach or the duodenum with free perforation into the general peritoneal cavity. I exclude from this group all malignant ulcers with perforation or posterior benign ulcers which have perforated into the lesser peritoneal cavity.

There is fairly general agreement1 that intra-abdominal infection is a major cause of death in cases of gastric and duodenal perforations,

First Page Preview View Large
First page PDF preview
First page PDF preview
×