Silent but Treacherous: A Case Report of Silent Perforated Peptic Ulcer in an Elderly Patient


Silent but Treacherous: A Case Report of Silent Perforated Peptic Ulcer in an Elderly Patient


Lakis Remi M.D., Hallal Mahmoud M.D.*, Hijazi Ghadir M.D., Zorkot Wael M.D., Ramadan Ahmad M.D., Mansour Bassam M.D.

AlZahraa Hospital University Medical Center (Zhumc) ,Beirut, Lebanon


Open Journal of Gastroenterology and Hepatology

Peptic ulcer disease (PUD) is one of the most common gastroduodenal disorders. Its prevalence has been decreasing over recent years. It has multiple complications, one of which is the life-threatening perforation. The latter usually present in a dramatic clinical picture and often necessitate an emergent surgical approach. A silent gastric perforation, however, is one of the rare conditions in the clinical practice which makes the diagnosis more challenging. We describe a case of silent perforated peptic ulcer complicated with septic shock and treated by surgery. This report highlights the wide spectrum of the clinical presentations of the peptic ulcer disease.


Keywords: Peptic ulcer disease (PUD), silent gastric perforation, life-threatening perforation ,septic shock.

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How to cite this article:
Lakis Remi, Hallal Mahmoud, Hijazi Ghadir, Ramadan Ahmad, Zorkot Wael, Mansour Bassam. Silent but Treacherous: A Case Report of Silent Perforated Peptic Ulcer in an Elderly Patient. Open Journal of Gastroenterology and Hepatology, 2019, 2:24. DOI: 10.28933/ojgh-2019-11-2705


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