A 56-year-old man comes to the office due to recurrent abdominal pain. The patient has epigastric abdominal pain with gradual onset, it is usually relieved with antiacids and with eating. The patient has been smoking 1 pack of cigarettes for the last 20 years. Physical examination reveals mild epigastric tenderness with no rebound or guarding. Upper GI endoscopy reveals an ulcer in the posterior wall of the duodenum. Which of the following arteries are at risk of bleeding if the ulcer penetrates the posterior wall?

Question

Quizplus · Accepted Answer

Eductional Objective: Duodenal ulcers present with epigastric abdominal pain which is relieved with eating meals. Duodenal ulcers could complicate hemorrhage, obstruction, and perforation. Posterior duodenal ulcers perforation erodes into the gastroduodenal artery causing hemorrhage.

A 56-Year-Old Man Comes to the Office Due to Recurrent