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Folia Medica Indonesiana

ISSN 0303-7932

Vol. 49 / No. 4 / Published : 2013-10

TOC : 9, and page :252 - 258

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Original Article :

Case report: management of peptic ulcer infection due to helicobacter pylori infection and abscess liver bowel perforation

Author :

  1. Tri Asih Imro’ati*1
  2. Ummi Maimunah*2
  1. Resident at the Department of Internal Medicine, Faculty of Medicine, Airlangga University, Surabaya
  2. Dosen Fakultas Kedokteran

Abstract :

It has been reported a male patient 69 years old, with body heat complaints, upper abdominal pain, and bowel black, with a historyof drinking aspilets for 9 years. From the results obtained hypertension, anemia, cardiomegaly, epigastric tenderness and rightupper quadrant, hepatomegaly, leukocytosis, hipoalbumin, abdominal ultrasound picture of multiple liver abscesses right lobe, oldmyocardial infarction inferio ECG, CT-scan of the abdomen obtained multiple liver abscesses in the right lobe, wall to wall abscesspartially attached gallbladder and duodenum, perihepatic fluid collection right pleural effusion and left. The initial diagnosis wasmultiple liver abscesses, melena. erosiva gastritis, anemia due to bleeding, hypertension stage I (JNC VII), hipoalbumin. Patientsundergoing endoscopic surgery laparoscopy to drain abscesses installation. Operating converted to laparotomy due to perforationwas found in the duodenum, transverse colon, and gallbladder. Histopathological examination of chronic superficial gastritisobtained, duodenal ulcer pepticum acute stage; H. pylori positive. Pus culture results obtained Escherechia coli susp. ESBL. Patientsreceived therapy for eradication of H. pylori (amoxicillin, chlarithromycin, PPI for 14 days, metronidazole and meropenem inaccordance culture. Concluded the most likely cause of liver abscess is an infection of E. coli translocation through a perforatedpeptic ulcer. The patient subsequently underwent outpatient controls obtained in poly UBT and HPSA is still positive.(FMI2013;49:252-258)

Keyword :

Peptic Ulcer, Helicobacter pylori Infection, Bowel Perforation, Liver Abscess,


References :

  1. Attumi TA and Graham DY, (2011). Follow-up testing after treatment of Helicobacter pylori infections: cautions, caveats, and recommendations. - : Clin Gastroenterol Hepatol
  2. Chey WD and Wong BC, (2007). American College of Gastroenterology guideline on the management of Helicobacter pylori infection. - : Am J Gastroenterol


   


Archive Article

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Volume : 49 / No. : 4 / Pub. : 2013-10
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  9. Case report: management of peptic ulcer infection due to helicobacter pylori infection and abscess liver bowel perforation
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