pyloroduodenal perforation
Full-thickness rupture of the pyloric or duodenal wall, typically from peptic ulcer disease requiring emergent surgical intervention.
Full Definition
Pyloroduodenal perforation represents a surgical emergency involving complete breach of the gastric pylorus or proximal duodenal wall. Most commonly caused by perforated peptic ulcers, this condition leads to spillage of gastric contents into the peritoneal cavity, causing chemical peritonitis. Immediate surgical management typically involves primary repair with omental patch reinforcement, though extensive perforations may require resection and reconstruction. The terminology is critical for accurate documentation of emergency procedures.
Usage
Usage note: Always specify location (pyloric vs. duodenal) when documenting.
In Context
- "Emergency laparotomy revealed a 5mm pyloroduodenal perforation requiring omental patch repair." — operative note
- "The patient presented with signs of peritonitis secondary to pyloroduodenal perforation." — emergency department note