Perforated peptic ulcer

Discussion:

Patient underwent an emergent exploratory midline laparotomy which revealed a large 7 cm anterior antral perforation and a 3 cm posterior wall perforation of the stomach. Four quadrant peritoneal soiling and food contents within the lesser sac.

A thorough washout and distal gastrectomy with roux-en-Y gastrojejunostomy was performed.

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