Synchronous perforation of a duodenal and gastric ulcer: a case report.
BACKGROUND
Peritonitis due to peptic ulcer perforation is a surgical emergency with a high risk of mortality and morbidity.


METHODS
We present a rare case of a 54-year-old Caucasian man who underwent an emergency laparotomy for peritonitis caused by perforation of two peptic ulcers. The first was located on the anterior wall of the duodenum and the second was posterior, pre-pyloric, close to the lesser curvature.


CONCLUSIONS
To the best of our knowledge, this is only the second report in the medical literature of a simultaneous perforation of two peptic ulcers; though rare, every surgeon performing open or laparoscopic repair of a perforated peptic ulcer should be aware of the possibility of simultaneous perforation.
Karangelis
Dimos
D
Department of General Surgery, General Hospital of Larissa, Greece. dimoskaragel@yahoo.gr.
Tagarakis
Georgios I
GI
Karathanos
Christos
C
Bouliaris
Konstantinos
K
Baddour
Andony J
AJ
Giaglaras
Anargyros
A