{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T10:40:13Z","timestamp":1756118413472,"version":"3.44.0"},"reference-count":0,"publisher":"ALUNA","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Wiadomo\u015bci Lekarskie"],"abstract":"<jats:p>Aim: Conduct an analysis and provide a pathophysiological justification for the case of the formation of an ulcer of the duodenal bulb in a 27-year-old soldier\nof the Armed Forces of Ukraine.\nMaterials and Methods: After collecting the anamnesis, the patient underwent a comprehensive examination, which included step-by-step pH-metry,\nesophagogastroduodenoscopy, testing for Helicobacter pylori infection (HP) (urease test and microscopic examination of stained smears-prints) in 4 topographic\nzones of the stomach, and histological examination of the gastric mucosa in the same zones.\nResults: When collecting a family history, it was found that relatives on one male line - father and grandfather - suffered from ulcer disease. It was established\nthat on the eve of an exacerbation, which lasted 3 weeks, the soldier helped load a car, repeatedly lifting boxes with ammunition up to 20 kg to a height of 1.5\nm. During pH-metry it was found that the acidity level of gastric juice corresponded to the basal normacidity of total. During esophagogastroduodenoscopy\nthe following diagnosis was made: \u201cUlcer of the duodenal bulb in the active stage (in the middle third, along the back wall, 1.5 x 0.8 cm, the ulcer defect is\ncovered with gray fibrin). Erythematous duodenogastropathy. Indirect signs of pancreatopathy.\u201d The presence of chronic gastritis in the active stage in the\npatient was confirmed by the results of histological examination of the gastric mucosa. The type of gastritis (non-atrophic) was confirmed by testing for HP\ninfection, which revealed a high concentration of the active form of bacteria - (+++) in all 4 topographic zones of the stomach.\nConclusions: Stress associated with participation in military operations led to the active reproduction of Helicobacter pylori infection and, accordingly, an\nincrease in \u201cresidual\u201d ammonia in the stomach cavity. Heavy physical exertion, which was accompanied by a sharp contraction of the muscles of the anterior\nabdominal wall, created a \u201cbellows\u201d effect, which concentrated the \u201cresidual\u201d ammonia in the cavity of the duodenal bulb and led to the formation of an ulcer.<\/jats:p>","DOI":"10.36740\/wlek\/208989","type":"journal-article","created":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T09:59:06Z","timestamp":1756115946000},"page":"1298-1301","source":"Crossref","is-referenced-by-count":0,"title":["A case of duodenal bulb ulcer formation in a soldier of the\nukrainian armed forces during ammunition loading"],"prefix":"10.36740","author":[{"given":"Anatoly A.","family":"Avramenko","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna K.","family":"Magdenko","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"22436","published-online":{"date-parts":[[2025,7,30]]},"container-title":["Wiadomo\u015bci Lekarskie"],"original-title":[],"link":[{"URL":"https:\/\/www.wiadomoscilekarskie.pl\/pdf-208989-128057","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.wiadomoscilekarskie.pl\/pdf-208989-128057","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T09:59:10Z","timestamp":1756115950000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.wiadomoscilekarskie.pl\/A-case-of-duodenal-bulb-ulcer-formation-in-a-soldier-of-the-nukrainian-armed-forces,208989,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,30]]},"references-count":0,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025]]}},"alternative-id":["208989"],"URL":"https:\/\/doi.org\/10.36740\/wlek\/208989","relation":{},"ISSN":["0043-5147","2719-342X"],"issn-type":[{"value":"0043-5147","type":"print"},{"value":"2719-342X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,30]]}}}