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[Ultrasonic diagnosis of gastrointestinal perforation].

Three cases of gastrointestinal perforation diagnosed by ultrasonography (US) are described. In these patients US showed the presence of gas in peritoneum, anteriorly to the liver. Gas is easily identified by US for its unique aspects. More difficult may be the diagnosis of its site, external to the gastrointestinal tract. Differential diagnosis, limits and possible pitfalls are briefly discussed.

Adenocarcinoma↗

Perforated gastric and duodenal ulcers; an analysis of 73 cases.

In 73 cases of perforated gastroduodenal ulcers in which operation was done at St. Joseph's Hospital, San Francisco, during the ten-year period July 1939 to July 1949, the death rate was 13.7 per cent. In all but three of the cases, simple closure of the perforation was carried out. In 46 cases there were postoperative complications. Of this number, peritonitis and its sequelae comprised 35 per cent and pulmonary complications, 37 per cent. The mortality rate in the group in which these complications occurred was 35 per cent.

Duodenal Ulcer↗

[Vagotomy in surgery of perforated gastric and duodenal ulcers].

Vagotomy is recommended by the author for the treatment of peptic ulcers. Vagotomy in combination with operations on the stomach and without them was used in 92 of 148 patients operated upon for the ulcer perforation. Lethality following suturing of the perforation hole was 7.7%, following vagotomy and the elimination of the perforation hole it was 1,1%. On the basis of the data obtained the author recommends vagotomy for the treatment of gastroduodenal ulcers complicated by perforation.

Adult↗