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Surgical and Medical Management of a Double Gastric Ulcer Perforation: A Case Report and Literature Review

Year: 2025

Type: article

Abstract: Introduction: Secondary peritonitis due to gastric ulcer perforation is a surgical emergency that can be life-threatening. Case report: We report the case of a 56-year-old male, with a history of alcohol and tobacco use, presenting with a prepyloric gastric perforation. Abdominal CT revealed a pneumoperitoneum. Laparotomy revealed two gastric perforations, managed by suture and drainage. Postoperative recovery was favourable. Discussion: Perforated ulcers are associated with risk factors such as smoking, alcohol consumption, and Helicobacter pylori infection. Prompt surgical management combined with appropriate medical treatment is essential to reduce morbidity and mortality. Conclusion: This case highlights the importance of a multidisciplinary approach and long-term follow-up to prevent recurrence.

Source: EJSMT

DOI: 10.59324/ejsmt.2025.1(3).06

Authors: Kamal Kadija, Mahad Abdillahi, Majd Abdessamad, Abdelhak Ettaoussi, Mounir Bouali, Abdelilah Elbakouri, Khalid El Hattabi, Sara Moukhlis

Institutions: Centre Hospitalier Universitaire Ibn Rochd, University of Hassan II Casablanca

Language: English

Topic: Gastrointestinal Bleeding Diagnosis and Treatment

Subfield: Gastroenterology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

OpenAlex ID: W4413285489

FWCI:

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