A confusing case in the approach of peptic ulcer perforation: old diaphragm paralysis
Mehmet Eryılmaz1, Murat Durusu1, Mehmet Topuzlar1, M. Tahir Özer2, Öner Menteş2, Mesut Durmuş1, Nazif Zeybek2, Köksal Öner1, Turgut Tufan2
1Gülhane Askeri Tıp Akademisi, Askeri Tıp Fakültesi, Acil Tıp Anabilim Dalı, Ankara
2Gülhane Askeri Tıp Akademisi, Askeri Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Ankara
Abstract
In the present case, we report a case of diaphragm paralysis presented with peptic ulcer perforation. A 32-yearold male patient admitted to the emergency service with complaints of dyspnea and şatulence in stomach. Even though it is not difficult to diagnose the peptic ulcer perforation, the diagnosis process was delayed because of the challenges in abdominal examination and chest X-ray secondary to the diaphragm paralysis. It should be considered that the chronicle problems complicating the patient evaluation may cause difficulties in determining the acute pathology.