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© 1980 Oxford University Press

research-article

PERFORATION OF PEPTIC ULCERATION IN THE ELDERLY

J. A. COLEMAN and M. J. DENHAM

Department of Geriatric Medicine, Northwick Park Hospital Watford Road, Harrow, Middlesex HA1 3UJ

Requests for reprints to Dr M. J. Denham.

A retrospective survey of elderly patients admitted with perforation of a duodenal ulcer showed that some presented with typical symptoms and signs of a perforation, while others presented as a gastro-intestinal bleed or with confusion or malaise. Diagnosis tended to be delayed in the latter group and mortality was higher. Earlier diagnosis may be helped by taking a chest radiograph or lateral decubitus films of the abdomen with a repeat film in a few hours if the diagnosis is still being considered.


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