A clinical case of complicated duodenal ulcer, accompanied by perforation, penetration, bleeding with extensive infiltration of hepatococcus and the development of pancreatic necrosis

This article discusses the clinical case of a giant duodenal bulb ulcer with multiple concomitant complications in the form of ulcer penetration into the pancreas and hepatoduodenal ligament, ulcer bleeding, and ulcer perforation. Duodenal suture failure and iatrogenic damage to the choledochus contributed to the development of local biliary fibrinous peritonitis. The patient underwent surgery three times: gastric resection by Hand and two rehabilitation relaparotomies. Despite intensive therapy in the Department of anesthesiology and intensive care, the patient's condition progressively worsened, and the patient died.