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A Case Report

LOUIS G. BRITT, MD; RODNEY Y. WOLF, MD

AMA Arch Surg. 1966;92(1):98-100.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

POSTBULBAR peptic ulcers comprise 5% to 10% of all duodenal ulcers. They often present diagnostic and therapeutic problems which are quite different from the usual bulbar ulcer. Ninety-eight percent of postbulbar ulcers occur in the first and second portions of the duodenum and are usually on the posteromedial wall. Characteristic peptic-ulcer pain is the most common symptom. The pain, however, frequently radiates to the back and is often intractable.^1-5 Hemorrhage is two to three times more common than in bulbar ulcers, is more severe, and less amenable to medical therapy.^1,3,4,6,7 Perforation with peritoneal contamination is a rare complication of postbulbar ulcers, since they usually penetrate into adjacent organs.^2-4 This is the case report of a perforated postbulbar ulcer which presented as a retroperitoneal retrocecal abscess.

Report of Case

A 62-year-old Negro man was admitted to the surgical service on May 20, 1963, with a 24-hour history of . . . [Full Text PDF of this Article]

Author Affiliations
MEMPHIS, TENN

From the Department of Surgery, University of Tennessee College of Medicine.

Footnotes
Submitted for publication Oct 6, 1965.

Reprint requests to Department of Surgery, University of Tennessee, Memphis, Tenn 38103 (Dr. Britt).

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