Perforated peptic ulcer during the puerperium

Abstract

Peptic ulcer is less frequent in pregnant women than in non-pregnant women.
Although it rarely perforates during pregnancy and even less frequently during the
puerperium, it is associated with an increased risk of maternal death. The use of nonsteroidal
analgesic and Helicobacter pylori infection are related to its pathogenesis.
Due to its clinical features during pregnancy, puerperal sepsis and paralytic ileus
may delay diagnosis. After delivery, clinical signs such as new-onset tachycardia,
abdominal pain, and increased distension should suggest the diagnosis. Since
complications can cause significant morbidity and mortality during the puerperium,
early detection and prompt treatment are imperative. Treatment of perforated
peptic ulcer during the puerperium is the same as for an urgent abdominal
surgical situation. Successful repair with omental patching usually seals the defect
and prevents additional perforations. A case of perforated peptic ulcer during the
puerperium is presented.