Abstract
Peritonitis due to peptic ulcer perforation is a surgical emergency with a high risk of mortality and morbidity. A case was presented here, that is a 19-year-old man who underwent an emergency laparotomy for peritonitis caused by perforation of peptic ulcer without risk factor for PUD. The ulcer was located on the pre-pyloric region, close to the lesser curvature. This case report highlights the importance of maintaining a high clinical suspicion of a perforated peptic ulcer in patients presenting with an acute abdomen without risk factor for peptic ulcer.
Highlights
Perforation of the gastrointestinal tract is one of the lifethreatening causes of acute abdomen that presenting with acute abdominal pain and severe distress of the patient
Peritonitis due to perforation of the GI tract is a common surgical emergency allover the world [1], that occurs in about 2% to 14% of patients with active ulcer disease [2,3]
Surgical treatment of perforation peritonitis strongly recommended and included combination of improved surgical technique, anti-microbial therapy and intensive care support has improved the outcome of such cases [4]
Summary
Perforation of the gastrointestinal tract is one of the lifethreatening causes of acute abdomen that presenting with acute abdominal pain and severe distress of the patient. In one third of patients, the presentation is less obvious, resulting in significant delays in diagnosis of peritonitis. Peritonitis due to perforation of the GI tract is a common surgical emergency allover the world [1], that occurs in about 2% to 14% of patients with active ulcer disease [2,3]. The aim of this case report is presentation of a case with gastric perforation without apparent manifestation and risk factor for peptic ulcer disease (PUD).
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