EJMCR |

Case Report

Volume: 4 | Issue: 8 | Published: Aug 15, 2020 | Pages: 263 - 265 | DOI: 10.24911/ejmcr/173-1589913065

A case report of duodenal and enteric perforation in a single patient

Authors: Ahmed Siddique Ammar , Ahmed Usman Khalid , Ahmed Raza Noumani

Article Info

Authors

Ahmed Siddique Ammar

Senior Registrar, General Surgery, MAYO Hospital, Lahore, Pakistan

Ahmed Usman Khalid

Post Graduate Resident, Hayatabad Medical Complex, Peshawar, Pakistan

Ahmed Raza Noumani

Senior Registrar, General Surgery, MAYO Hospital, Lahore, Pakistan

Publication History

Received: May 19, 2020

Revised: July 04, 2020

Accepted: July 11, 2020

Published: August 15, 2020

Abstract

Background: The presence of two hollow viscus perforations in a single patient is a rare entity and no case report is available in the literature which shows the finding of duodenal ulcer perforation and enteric perforation in the same patient. Case presentation: A 55-year-old male presented in the emergency department of East Surgical Ward of Mayo Hospital, Lahore, Pakistan, in January 2020 with complaint of abdominal pain and vomiting for the past 3 days and fever for the past 5 days. He was a chronic smoker with a history of 10 pack-years. On examination, he had tachycardia with a pulse rate of 114 beats/minutes and respiratory rate was 30/minutes and his whole abdomen was guarding with absent bowel sounds. X-ray of the chest showed free gas under the right hemidiaphragm. The patient was resuscitated and plan of exploration was made with diagnosis of perforated duodenal ulcer. We found a 0.5 × 0.5 cm perforation on the anterior surface of the first part of the duodenum along with a 1 × 1 cm perforation on antimesenteric surface of ileum that is 1 feet proximal to ileocolic junction. Grahams patch repair was carried out for duodenal perforation, while loop ileostomy was made for ileal perforation. The patient was discharged on the 5th postoperative day. The reversal of loop ileostomy was carried out after 2 months. Conclusion: In cases of peritonitis, general inspection of the whole gastrointestinal tract plays a very important role as more than one hollow viscus perforation can be found in a single patient which can be missed and can lead to peritonitis again.

Keywords: Case report, perforation, duodenal, enteric, green

Pubmed Style

Ahmed Siddique Ammar, Ahmed Usman Khalid, Ahmed Raza Noumani. A case report of duodenal and enteric perforation in a single patient. EJMCR. 2020; 15 (August 2020): 263-265. doi:10.24911/ejmcr/173-1589913065

Web Style

Ahmed Siddique Ammar, Ahmed Usman Khalid, Ahmed Raza Noumani. A case report of duodenal and enteric perforation in a single patient. https://ejmcr.com/articles/1404 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1589913065

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Ahmed Siddique Ammar, Ahmed Usman Khalid, Ahmed Raza Noumani. A case report of duodenal and enteric perforation in a single patient. EJMCR. (2020), [cited December 25, 2024]; 15 (August 2020): 263-265. doi:10.24911/ejmcr/173-1589913065

Harvard Style

Ahmed Siddique Ammar, Ahmed Usman Khalid, Ahmed Raza Noumani (2020) A case report of duodenal and enteric perforation in a single patient. EJMCR, 15 (August 2020): 263-265. doi:10.24911/ejmcr/173-1589913065

Chicago Style

Ahmed Siddique Ammar, Ahmed Usman Khalid, Ahmed Raza Noumani. "A case report of duodenal and enteric perforation in a single patient." 15 (2020), 263-265. doi:10.24911/ejmcr/173-1589913065

MLA (The Modern Language Association) Style

Ahmed Siddique Ammar, Ahmed Usman Khalid, Ahmed Raza Noumani. "A case report of duodenal and enteric perforation in a single patient." 15.August 2020 (2020), 263-265. Print. doi:10.24911/ejmcr/173-1589913065

APA (American Psychological Association) Style

Ahmed Siddique Ammar, Ahmed Usman Khalid, Ahmed Raza Noumani (2020) A case report of duodenal and enteric perforation in a single patient. , 15 (August 2020), 263-265. doi:10.24911/ejmcr/173-1589913065