HEALTH CLINIC

what is duodenal perforation? Perforations of the duodenum occur most often with ulcers on the anterior wall of the duodenum. Perforations occur less often with ulcers on the posterior wall. However, posterior wall perforations may erode the gastroduodenal artery causing severe hemorrhage and extend into the pancreas. Clinical findings: Air under the diaphragm, pain radiates to the left shoulder.  _________ THE SMALL INTESTINE __________ The small intestine extends from the pylorus to the ileocaecal junction. It is about 6 m long. The length is greater in males than in females, and greater in cadavers, due to loss of tone than in the living. It is divided into  (a) an upper, fixed part, called the duodenum, which measures about 25 cm in length; and (b) a lower, mobile part, forming a very long convoluted tube. The upper two-fifths of the mobile intestine are known as the jejunum, and the lower three- fifths are known as the ileum. The structure of the small intestine is adapted for dig