A 42 y.o. man who has been ill with duodenal ulcer for 20 years complains of getting a sense of heaviness in stomach after meal, foul-smelling eructation, vomiting, weight loss. Objectively: his state is relatively satisfactory, tissue turgor is diminished. On palpation the belly is soft, there are no symptoms of peritenium irritation, "splashing sounds"in epigastrium. Defecation - once in 3 days. What complication corresponds with the patient's state and described clinical presentations?

Answer options

1. Concealed ulcer perforation
2. Stomach cancer
3. Ulcerative pyloric stenosis
4. Ulcer penetration
5. Chronic pancreatitis

Explanation

A 42 y.o. man who has been ill with duodenal ulcer for 20 years complains of getting a sense of heaviness in stomach after meal, foul-smelling eructation, vomiting, weight loss. Objectively: his state is relatively satisfactory, tissue turgor is diminished. On palpation the belly is soft, there are no symptoms of peritenium irritation, "splashing sounds"in epigastrium. Defecation - once in 3 days. What complication corresponds with the patient's state and described clinical presentations?Duodenal ulcer is one of the risk factors for pyloric stenosis. Heaviness in the stomach after a meal, foul-smelling eructation, weight loss due to pyloric stenosis.