A 57-year-old male patient with an unremarkable medical history presented to the emergency department with a 3-day history of abdominal pain, nausea, and vomiting. On performing a physical examination, his abdomen was distended and tender to palpation. Intravenous contrast-enhanced abdominal computed tomography (CT) demonstrated acute gastric and duodenal dilatation (Figure 1a). There was narro...

Perioperative chemoradiotherapy is considered to be one of the standards of care for early-stage gastric cancer, especially when it involves the esophagogastric junction or greater curvature. To date, there are no reported cases of gastrointestinal perforation in the literature, including many major clinical trials of adjuvant or neoadjuvant chemoradiotherapy for gastric cancer. It is important...

This is a case report of foreign body ingestion in a suicide attempt resulting in gastric perforation and phlegmon formation during a subsequent 6 month period that eventually required surgical intervention. The patient had a prolonged course because she did not report a history of foreign body ingestion and the initial evaluating physicians had no suspicion about possible foreign body ingestio...

Gastric perforation is a very rare complication of necrotizing pancreatitis. We present an interesting case of gastric perforation after necrosectomy for necrotizing pancreatitis without generalized peritonitis. Abdominal drain was seen inside the stomach on endoscopy and there were no clinical features of generalized peritonitis even after 10 days of surgery. Patient was re-explored. The drain...

SIMPLE gastric ulcer occasionally progresses without causing any inconvenience to the patient, who may be in apparently good health, until the rude awaking due to perforation indicates the serious nature of his malady. The diagnosis of perforation is generally sufficiently obvious, and there are definite sign5 and symptoms which lead one to a correct diagnosis. ^ history of indigestion can usua...