Abstract
Giant gastric ulcer (GGU) is defined as an ulcer more than 3 cm in diameter. Now infrequent in clinical practice, in the pre-H2 receptor antagonist (H2RA) era, the incidence of GGU varied between 12 and 24% of all gastric ulcers. Proton pump inhibitors reportedly achieve better healing rates and symptom relief in comparison to H2RA. The GGU is associated with high incidence of serious complications such as hemorrhage. A perforated GGU though rare (<2%) offers serious challenges in management. We report one such case wherein the role of multidetector CT scan (MDCT) for diagnosis and treatment planning, surgical options for GGU perforations, and factors affecting outcome are discussed.
Highlights
Giant gastric ulcer (GGU) is defined as an ulcer more than 3 cm in diameter
Infrequent in clinical practice, in the pre-H2 receptor antagonist (H2RA) era, the incidence of GGU varied between 12 and 24% of all gastric ulcers
A perforated GGU though rare (
Summary
Management of Giant Gastric Ulcer Perforation: Report of a Case and Review of the Literature. Infrequent in clinical practice, in the pre-H2 receptor antagonist (H2RA) era, the incidence of GGU varied between 12 and 24% of all gastric ulcers. A perforated GGU though rare (3 cm) discontinuity of the anterior wall of the gastric antrum with pneumoperitoneum suggestive of giant gastric perforation (Figure 1). Despite the best available multidisciplinary care, the patient died on the 7th postoperative day
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