DOI: 10.36347/sjmcr.2016.v04i04.027

Pages: 276-277

Peptic perforation comprises of one of the biggest chunk of surgical emergencies. While associated with high mortality and morbidity, it occurs as a result of heterogeneous aetiologies. Though almost every general surgeon is confronted by a simple and single peptic perforation in his practice, very few have encountered with multiple peptic perforation. Herein we report a case of middle aged male who presented to us with features of perforation peritonitis. Patient also gave history of analgesic abuse. On laparotomy, two separate peptic perforations were found on lesser curvature of stomach separated by a distance of 2 cm. Both of the perforations were merged into a single one and then repaired by graham`s patch method. Patient had uneventful post-op period and was discharged on day five. Since peptic perforations are quite common in surgical practice, this type of odd presentation should be kept in mind to prevent any post-op catastrophe in the patient.