Chapter IV./2.:Pathological implications of gastric ulcer penetrating into the pancreas

Tibor Glasz

The chapter structure

• IV./2.1.: Main case characteristics of the presented dissection

• IV./2.2.: Description of dissection

• IV./2.3.: Pathology of gastric ulcer

  • IV./2.3.1.: Etiology

  • IV./2.3.1.1.: Peptic ulcer (ulcus ventriculi pepticum)

  • IV./2.3.1.2.: Iatrogenic (postoperative) ulcer (ulcus iatrogenicum)

  • IV./2.3.1.3. Cancer-related ulcers (ulcus ventriculi propter tumorem)

  • IV./2.3.1.4.: Stress-related ulcer

  • IV./2.3.1.5.: Ulcer with endocrine origin (Zollinger-Ellison-syndrome)

  • IV./2.3.2.: Morphological characteristics

  • IV./2.3.2.1.: Erosion

  • IV./2.3.2.2.: Ulcus (ulcer)

  • IV./2.3.2.3.: Perforation (transfixion)

  • IV./2.3.2.4.: Penetration (closed transfixion)

• IV./2.4.: Acute abdominal syndrome, as pathology of the perforating ulcer’s serious complication

  • IV./2.4.1.: Definition, general characteristics

  • IV./2.4.2.: Main symptoms of acute abdominal syndrome

    • IV./2.4.2.1.: Shock

    • IV./2.4.2.2.: Pain

    • IV./2.4.2.3.: Nausea (nausea) with or without vomiting (vomitus)

    • IV./2.4.2.4.: Abdominal muscular defense (défense musculaire)

    • IV./2.4.2.5.: Constipation of stool and bowel gas

    • IV./2.4.2.6.: Abdominal distension (meteorismus)

  • IV./2.4.3.: Etiology of acute abdomen syndrome

  • IV./2.4.4.: Peritonitis

    • IV./2.4.4.1.: Diffuse purulent bacterial peritonitis

    • IV./2.4.4.2.: Local purulent bacterial peritonitis (empyema)

      • IV./2.4.4.2.1.: Empyemas of the right hypogastric (appendicular) region

      • IV./2.4.4.2.2.: Subphrenic abscess/empyema

    • IV./2.4.4.3.: Bilious peritonitis (gall bladder region)

    • IV./2.4.4.4.: Other peritonitides

      • IV./2.4.4.4.1.: Peritonitis of the spleen area

      • IV./2.4.4.4.2.: Peritonitis of the excavatio rectouterina (Douglas-pouch) and excavatio rectovesicalis

      • IV./2.4.4.4.3.: Faeces-peritonitis (peritonitis stercorale seu faeculens)

      • IV./2.4.4.4.4.: Actinomycosis

      • IV./2.4.4.4.5.: Parasitic peritonitis

      • IV./2.4.4.4.6.: Pancreatogenic peritonitis

      • IV./2.4.4.4.7.: Gonococcal  upper abdominal peritonitis (Fitz-Hugh-Curtis-syndrome)

  • IV./2.4.5.: Acute abdominal syndrome due to organ injuries (traumatic acute abdominal syndrome)

    • IV./2.4.5.1.: Hollow organs

    • IV./2.4.5.2.: Parenchymal organs

    • IV./2.4.5.3.: Type of the acting force (trauma)

  • IV./2.4.6.: Hernias and their complications 

    • IV./2.4.6.1.: Types of hernias

    • IV./2.4.6.2.: External hernias

      • IV./2.4.6.2.1.: Hernia inguinalis lateralis (indirect inguinal hernia) et medialis (direct inguinal hernia)

      • IV./2.4.6.2.2.: Hernia femoralis (femoral hernia)

      • IV./2.4.6.2.3.: Hernia umbilicalis (umbilical hernia)

      • IV./2.4.6.2.4.: Herniae abdominales (abdominal hernias)

    • IV./2.4.6.3.: Internal hernias

      • IV./2.4.6.3.1.: Herniae diaphragmaticae (diaphragmatic hernia

      • IV./2.4.6.3.2.: Hernia intraabdominalis (intraabdominal hernia)

    • IV./2.4.6.4.: Hernia contents 

    • IV./2.4.6.5.: Complications of hernias

      • IV./2.4.6.5.1.:

      • IV./2.4.6.5.2.: Incarceratio (incarceration)

      • IV./2.4.6.5.3.: Consequences of incarceration

  • IV./2.4.7.: Haemorrhagic organ necrosis

    • IV./2.4.7.1.: Haemorrhagic infarct of the intestinal wall (necrosis seu infarctushaemorrhagicus)

    • IV./2.4.7.2.: Gallbladder torsion (torsio vesicae felleae)

    • IV./2.4.7.3.: Ovarian torsion

    • IV./2.4.7.4.: Testicular torsion (torsio testis)

  • IV./2.4.8.: Tumor complications

    • IV./2.4.8.1.: Gastrointestinal tumors

    • IV./2.4.8.2.: Ovarian tumors

    • IV./2.4.8.3.: Tumors of the blood and blood-forming organs

    • IV./2.4.8.4.: Lymphangioma cysticum

  • IV./2.4.9.: Tubal pregnancy (graviditas tubaria)

  • IV./2.4.10.: Aortic dissection (dissectio aortae)

References

Schaff Zs, Illyés Gy: Az emésztőrendszer patológiája. In: Patológia. Szerk.: Kopper L, Schaff Zs. Medicina, Budapest 2004; ISBN 963 242 920 6; pp. 776-783.

Rosai J: Gastrointestinal tract – Large bowel. In: Rosai and Ackerman’s Surgical Pathology. Szerk.: Rosai J. Mosby 2011; ISBN-13: 9780323069694; pp. 585-816.

Marshall BJ, WarrenJR: Unidentified curved bacilli on gastric epithelium in active chronic gastritis (Letter). Lancet 1983; 1 (8336): 1273-1275.

Rácz I: A Helicobacter pylori infekcióval kapcsolatos kórképek epidemiológiája, diagnosztikája és kezelése. HIPPOCRATES I, 4: 238 (http://www.medlist.com/HIPPOCRATES/I/4/238.htm)