A 57-year-old woman with a medical history of hiatal hernia, peptic ulcer disease, alcoholism, and schizophrenia was admitted to the emergency department with epigastric pain and fever. The patient had not been taking her prescribed proton pump inhibitors. A peptic ulcer perforation (1.5cm) in the hiatal hernia sac was discovered during gastroscopy, and an attempt to close the perforation with ...
