Misdiagnosed ulcer resulted in sepsis, bleeding from rectum, tenderness of ribs, painful. Why is this happening?
Patient: I had mis diagnosed ulcer 2008 resulted in sepshis had 7 lapootimies near death survived long itu stay now have bleeding from rectum very tender under right rib alot of painful episodes now thickening found on the stomach wall will see gastric surgeon soon also going for endoscopy soon what could it be be honest prepared for worst thanks so much Doctor: hello there!  i read your query and i want you to know that Misdiagnosed ulcers lead to perforations and pain under right hypochondrium means it involves duodenum biliary tract with or with out secondary pancreatic involvement.As you already have sepsis and alot of surgical procedures so there are alot of adhesions and post surgical unavoidable complications making your bowel very sensitive and explains all the symptoms you are facing.rectal bleeding needs work up.Colonoscopy would be a good start with complete blood panel.Endoscopy for gastric mass is to rule out any gastric malignancy odds as they increase in cases like yours.If God forbid there is some malignant mass it would be better to intervene early. So thats what all this plan is about. Hope for the least try for the best and get prepared for the worst. I am sure you will be fineTake some special care of yourselfregardsDr S Khan