Double peptic perforation: Report of a rare case

Abstract

Perforation peritonitis is the most common surgery performed in an emergency. Upper gastrointestinal tract perforation is more common than lower gastrointestinal perforation. Multiple peptic perforations in an individual are a relatively rare entity, with fewer than 10 cases reported in the literature. The factor that contributes the most for the occurrence of multiple peptic perforations is analgesic and steroid abuse. Herein, we report a rare case of double peptic perforation in a middle-aged man with history of analgesic use for 18 months.

Diagnosing Fanconi Anemia: A Rare Case Report From Rural India

“…In FA, due to these genetic defects, the DNA repair process is impaired, preventing the production of new stem cells and leading to aplastic anemia [ 7 ]. In a case by Sharma et al diagnosis was based on physical abnormalities, blood investigations, and bone marrow examination along with the use of a chromosomal breakage test for confirmation [ 8 ]. In a study by Alahmadi et al, the mean age of presentation of FA was seven to eight years with a male preponderance [ 9 ].…”

Idiopathic Double Perforation of the Gastrointestinal Tract

“…Multiple simultaneous perforations in different sites of GI tract are extremely rare; only 8 cases of multiple perforations derived from peptic ulcers have been described (3). It is estimated that 1% of all patients with Behcet disease may develop multiple GI perforations; this percentage is extremely low, given the rarity of Behcet disease (4).…”