Refractory gastric ulcer due to undisclosed use of topical diclofenac epolamine patches.
Yuta OdaHiromichi NaitoTsuyoshi NojimaAtsunori NakaoPublished in: Acute medicine & surgery (2021)
In conclusion, inappropriate use of topical NSAID patches can be a cause of peptic ulcer bleeding. Patients reporting multiple episodes of recurrent bleeding from a gastric ulcer should be questioned, particularly about the use of OTC medications that might include topical NSAID patches.