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Year : 2017  |  Volume : 2  |  Issue : 4  |  Page : 109-112

Hemorrhagic duodenal ulcer and subsequent acute appendicitis following lobectomy for lung cancer

1 Department of Surgery, Footscray Hospital, Victoria, Australia
2 Department of Surgery, The University of Melbourne, Victoria, Australia

Correspondence Address:
Tyson A Moore
Department of Surgery, Western Health, Footscray Hospital, Victoria 3011
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ts.ts_15_17

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A 62-year-old Vietnamese male presented for an elective video-assisted thoracoscopic surgery lobectomy for treatment of a suspicious lung mass. Postoperatively, he developed a hemorrhagic duodenal ulcer requiring endoscopic hemostasis. Interestingly, he subsequently became septic secondary to perforated acute appendicitis necessitating laparoscopic appendectomy. Surgery can evoke a physiological stress response and may be a causative factor in the pathogenesis of stress ulcers in surgical patients. A recent article has found an association between the development of acute appendicitis in patients with a history of peptic ulcer disease. The pathological mechanism responsible for this association may be the result of an imbalance of the autonomic nervous system and neuromusculature spasms at the ceco-appendiceal junction.

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