Abstract
Although nonsteroid anti-inflammatory drugs (NSAID) are frequently administered, their prolonged use sometimes causes serious side effects. The mainside effects of NSAID include gastrointestinal disorders. In this paper we report a patient in whom the use of NSAID for a short period of time caused bleeding gastric ulcers. The patient was a 66-year-old man with a chief complaint of pain and difficulty in his opening mouth. He had a history of treatment for gastric ulcer 30 years ago. The clinical diagnosis at the first examination in our department was right buccal abscess due to periodontitis around the right lower third molar. After admission, the symptoms tended to improve after anti-inflammatory treatment by abscess drainage and NSAID administration. On the 7th hospital day, however, the patient had suddenly hemoptysis for which heunderwent endoscopic hemostasis and transfusion of 6 units of packed red cells. Endoscopic examination showed multiple well-demarcated ulcers, consistent with the features of NSAID ulcers. He was treated for gastric ulcers, and discharged on the 28th hospital day. The post-discharge course was uneventful.
