“…Duodenal ulcers are more common than gastric ulcers, with a ratio of 18:4, 1 and the main risk factors in children are Helicobacter pylori infection and non‐steroidal anti‐inflammatory drugs 2 . Perforation occurs in less than 9% of duodenal ulcers, and may more common in children older than 7 years 3 . The mean age for paediatric perforated peptic ulcers (PPU) is 14.2 years, with 90% adolescents 1 .…”