Abstract
Zollinger Ellison syndrome (ZES) presenting with jejunal perforation is a very rare presentation with very few cases reported worldwide and none with recurrent jejunal perforation. A 40-year-old male came with perforation peritonitis with history of abdomen pain off and on, confirmed radiologically and exploratory laparotomy done. A small jejunal perforation (3 mm) was noted and primary repair was done. Oral pantoprazole was given and patient was discharged after 10 days. He was asked to come after 1 week for follow-up but he didn't turn up. After 6 weeks, the patient again presented with perforation peritonitis and profound shock. Resuscitation was done and on exploration, jejunal perforation was noted with no evidence of any tumor in the duodenum or, stomach wall or, the pancreas. There was no specific swelling in any of the lymph nodes. Biopsy was taken and primary repair was done. Retrospective analysis for this rare presentation was done which suggested ZES.
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