Abdul Ghani, Waqar Ahmed, Fu Baqai.
A Study of Duodenal Perforation in Diabetics.
Baqai J Health Sci Jan ;13(2):19-23.

The aim of this study is to identify incidence of duodenal perforation in diabetic patients. The study was conducted in Department of General Surgery. Baqai Medical University hospital, Karachi, Pakistan, from April 2006 to March 2012. The study included 18 patients with duodenal perforation who underwent emergency Laparotomy, duodenorrhaphy and omentoplasty. The diagnosis was based on History and physical examination, chest radiograph, and ultrasound of abdomen. Out of 18 patients all were non obese, thin with average built. All were non diabetics, 13 had H/o dyspepsia, and fifteen were smokers with bad dietary habit. 16 had classical presentation where as two had unusual presentation. All have gas under diaphragm on chest radiograph and intraperitoneal fluid on U/s abdomen. Duodenal perforation is usually uncommon in diabetics.

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