[On the treatment of perforated gastric and duodenal ulcer: results and comments on 50 cases of perforated gastroduodenal ulcers treated by surgery].
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Presentation of peptic ulcer disease in children covers a broad spectrum ranging from subtle, and thus overlooked and underdiagnosed, to catastrophic, as in this case. It is important for the emergency physician to realize the potential morbidity and mortality of this disease and be aware of the spectrum of presentation for primary and secondary pediatric ulcer disease.
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The results of a retrospective analysis of the records of 665 consecutive patients with diffuse peritonitis emphasize the considerable effect age and causal lesion have on the prognosis. The comparison of results of any innovations in the treatment of diffuse peritonitis cannot be assessed unless these factors are fully taken into account. The fallacy of comparing overall mortality figures is demonstrated. The high mortality rate for diffuse peritonitis associated with diverticulitis is noted.
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