Abstract

Gastric acid secretion induces the inner lining of the gastrointestinal tract to rupture, which is the hallmark of peptic ulcer disease. It mainly affects the stomach and proximal duodenum, but it can also affect the lower esophagus, distal duodenum, or jejunum. The two main factors interfering with the mucosal resistance to damage are H. pylori and NSAIDs. Goitre is a disorder characterized by an enlarged thyroid gland that may or may not be linked to hyper or hypothyroidism. It can be manifested with normal thyroid hormone levels (euthyroid). Both the entities are different. Here, we describe a case of peptic ulcer discovered in a patient who had undergone a total thyroidectomy recently for a massive diffuse nodular goitre.

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