UNIVERSITAS AIRLANGGA



Detail Article

Folia Medica Indonesiana

ISSN 0303-7932

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

Order : 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 :

Attumi TA and Graham DY,(2011) Follow-up testing after treatment of Helicobacter pylori infections: cautions, caveats, and recommendations - : Clin Gastroenterol Hepatol

Chey WD and Wong BC,(2007) American College of Gastroenterology guideline on the management of Helicobacter pylori infection - : Am J Gastroenterol





Archive Article

Cover Media Content

Volume : 49 / No. : 4 / Pub. : 2013-10
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  2. The Effect Of Lime Peel Extract (citrus Aurantifolia) To Total Blood Cholesterol Levels Of Mice (mus Musculus) That Given The High Cholesterol Diet
  3. Monitoring Of Potassium Level On The Heart Failure Patients Using Captopril And Furosemide
  4. Effect Of Red Yeast Rice (monascus Purpureus) Extract To The Trombopoietin Level In Dengue Infected Patients
  5. Amaranthus Tricolor Linn Preserves The Thickness Of Seminiferous Tubules In Mice (mus Musculus) Induced By Lead Acetate
  6. Effect Of Low Molecular Weight Topical Hyaluronate On White Rat Superficial Wounds Epithelization Treated With Freeze-dried Amnion Membrane
  7. Profile Of Chest And Abdomen Ultrasound On Patients With Dengue Virus Infection In Dr. Soetomo Hospital Surabaya Between February-april 2012
  8. The Prevalence Of Extended Spectrum Beta-lactamase (esbl) In Third Generation Cephalosporin Usage Among Sepsis Patients In The Department Of Internal Medicine Rsud Dr. Soetomo Surabaya
  9. Case Report: Management Of Peptic Ulcer Infection Due To Helicobacter Pylori Infection And Abscess Liver Bowel Perforation
  10. Difference Of Pain Intensity In Tension Type Headache Patients Focusing On The Personality
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  12. The Difference Of Heart Rate Recovery Among Obese Subjects With And Without Metabolic Syndrome
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