Case Report


Unusual perforation of the small bowel: A case report and literature review

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1 Surgical registrar, Department of General Surgery, Peninsula Health PO Box 52, 2 Hastings Road, Frankston, Victoria, Australia

2 Consultant General Surgeon, Department of General Surgery, Peninsula Health PO Box 52, 2 Hastings Road, Frankston, Victoria, Australia

3 Consultant General Surgeon and Head of Department of General Surgery, Peninsula Health PO Box 52, 2 Hastings Road, Frankston, Victoria, Australia

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Amin Tanveer

Department of General Surgery, Peninsula Health PO Box 52, 2 Hastings Road, Frankston, Victoria, Australia, Frankston, Melbourne, Victoria 3199,

Australia

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Article ID: 100052Z06AT2018

doi: 10.5348/100052Z06AT2018CR

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How to cite this article

Tanveer A, Chitty J, Evans P. Unusual perforation of the small bowel: A case report and literature review. Case Rep Int 2018;7:100052Z06AT2018.

ABSTRACT


Spontaneous, non-traumatic perforation of the small bowel is an uncommon surgical emergency. Although, duodenojejunal flexure is a common site for traumatic bowel perforation due to its relative fixation by the ligament of treitz, Hereby, we present case of a 75-year-old man who presented with spontaneous perforation of duodenojejunal flexure secondary to a non-specific ulcer. The patient underwent emergency laparotomy and resection of the affected part of small bowel. Postoperatively, he made a good recovery and was discharged home. Early recognition and radical surgical resection of the affected small bowel ulcer site is considered the best treatment, and has a favourable outcome.

Keywords: Perforation of the small bowel, Nonspecific ulcer of small bowel, Idiopathic chronic ulcerative enteritis

SUPPORTING INFORMATION


Author Contributions

Amin Tanveer - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Josephine Chitty - Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published

Peter Evans - Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this case report.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2018 Amin Tanveer et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.