DOI: 10.36347/sjmcr.2019.v07i07.006

Pages: 422-424

Perforated duodenal ulcer is a complication of peptic ulcer disease which carries a high risk for morbidity and mortality. Duodenal ulcers are usually seen in the 1st part of duodenum. The authors of present case report have found an unusual site of perforated duodenal ulcer at postero-medial wall of 2nd part of the duodenum, immediately above and medial to the major duodenal papilla, in an adult male cadaver at Department of Anatomy, ESIC Medical College, Sanathnagar, Hyderabad, TS, India. The perforation measured 1.25cm in length and 1cm in width. There were significant radiating mucosal folds around the perforation which is a sign of mucosal ulcer. No other gastro-intestinal lesions or anomalies were observed in the same cadaver. Duodenal perforation releases the gastro-duodenal contents into peritoneal cavity which results in peritonitis. Early diagnosis, proper resuscitation and rapid surgical interventions are crucial in improving the outcome.