Peritonitis after Peptic Ulcer and Appendicitis Wound Simultaneous Perforation: A Case Report

Background and Objectives: Peritonitis is one of the most important emergency abdominal surgeries which mostly occurs due to intra-abdominal visceral perforation. Case Presentation: The patient was a 54-year-old man referred to the emergency department for abdominal pain and inability in passing gas and defecation. In physical examination, there was a generalized tenderness with guarding; in the image, pneumoperitoneum and in the laboratory test, leukocytosis with left shift. The patient had a perforated peptic ulcer and also perforated appendicitis which underwent the emergent laparotomy. He was treated by the appendectomy. The patient was discharged after 5 days with a good general condition after taking the drug with the Helicobacter pylori and normal regimen; and in the follow-up of the patient in the clinic, the patient was good. Conclusion: In people who refer with generalized abdominal pain and undergo laparotomy while in the initial examination, an early pathology is evident; it is recommended that other areas of the abdomen be investigated. Key words: Perforated peptic ulcer, Appendicitis, Peritonitis   Funding: This research was funded by personal costs. Conflict of interest: None declared. Ethical [a1] approval: The Ethics Committee of Mashhad University of Medical Sciences approved the study.   How to cite this article: Etezadpour M, Seyed Sharifi S. H. Peritonitis after Peptic Ulcer and Appendicitis Wound Simultaneous Perforation: A Case Report. J Rafsanjan Univ Med Sci 2019; 18 (7): 729-38. [Farsi]  [a1]کد اخلاق ذکر گردد.