Case Report


An unusual case with a patient with concurrent peptic ulcer perforation and gallbladder perforation

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1 Registrar, Department of General Surgery, Canberra Hospital, Canberra, ACT, Australia

2 Consultant, Department of General Surgery, Canberra Hospital, Canberra, ACT, Australia

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Zen Zuan Yong

Canberra, ACT,

Australia

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Article ID: 100150Z12ZY2025

doi: 10.5348/100150Z12ZY2025CR

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How to cite this article

Yong ZZ, Balasooriya J. An unusual case with a patient with concurrent peptic ulcer perforation and gallbladder perforation. J Case Rep Images Surg 2025;11(1):9–12.

ABSTRACT


Concurrent gallbladder and peptic ulcer perforation are both life-threatening, rare conditions that present as an acute abdomen. Here we discuss a patient who presented with acute abdomen with computed tomography (CT) scan showing evidence of hollow viscous perforation and subsequent exploratory laparotomy revealing both gallbladder and gastric perforations. The discussion involves the rarity of such reported cases and mainstay treatment, which is surgical. These rare scenarios always warrant suspicion whether there is a possible connection, or cause to this. It is also extremely important to examine for other parts of the bowel and abdominal viscera for possible second pathology, even when an obvious perforation is found as it can be missed. Early surgical intervention is important and carries a much better prognosis in such patients presenting with this.

Keywords: Concurrent, Gallbladder perforation, Peptic ulcer perforation

SUPPORTING INFORMATION


Author Contributions

Zen Zuan Yong - Substantial contributions to conception and design, Acquisition of data, Interpretation of data, Drafting the article, Final approval of the version to be published

Janaka Balasooriya - Analysis of data, Drafting the article, Final approval of the version to be published

Guarantor 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 article.

Data Availability

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

Conflict of Interest

Authors declare no conflict of interest

Copyright

© 2025 Zen Zuan Yong 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.