[Successful operation of bleeding perforated Curling's ulcer]

Abstract

The Curling's ulcer is a special form of the stress ulcers which occurs in the stomach and duodenum in 2.0-25%. It's pathogenesis is unknown even though it is clearly related to larger burns poor early treatment and septic complications. Since the institution of routine prophylaxis of H2 receptor antagonists and antacids have decreased the incidence of Curling's ulcers and have reduced the occurrence of clinical complications of ulcers too: the perforation and bleeding. In the large patient-number of the author (2300 pro 22 yrs.) the occurrence of the Curling's ulcer is 0.82%! In the burn-disease (30-40% of the all burn injuries) that is 2.0--2.7%. The author discusses 3 successfully operated Curling's ulcer bleeded and perforated.