ArticleInternational journal of surgery case reports2026
Multifocal cellulitis and polymicrobial infection in a patient with a perforated duodenal ulcer: a case report and literature review.
Article in International journal of surgery case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Perforated peptic ulcer (PPU) is a critical surgical emergency associated with high mortality rates, typically requiring immediate surgical intervention. Case presentation: A 41-year-old man, who had a long-term history of taking unidentified analgesics for chronic left groin pain, presented to the hospital with fever, diffuse abdominal pain, and both legs were red and painful. Initial evaluation suggested a perforated peptic ulcer and cellulitis of both legs and scalp, and emergency exploratory laparotomy and abscess drainage were performed simultaneously, revealing a duodenal perforation. Notably, blood cultures were positive for Discussion: The relationship between Conclusion: This case highlights the importance of cautious etiologic interpretation, early source control, culture-directed antibiotics, and individualized postoperative nutritional management in complex perforated ulcer disease with multifocal infection.
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