Laparoscopic wedge resection and omental patch in an elderly patient with acute abdomen: a case report.

ABSTRACT:

Background

Perforated gastric ulcers represent life-threatening surgical emergencies with particularly high morbidity and mortality in elderly patients. While omental patch repair remains the standard treatment for duodenal perforations, optimal management of complex gastric perforations, especially those with necrosis or concurrent lesions, remains controversial.

Case presentation

We present the case of a 72-year-old Iranian woman with multiple comorbidities who presented with septic shock secondary to gastric perforation. Diagnostic laparoscopy revealed a 1.5-cm perforation with surrounding necrosis and an adjacent gastric polyp. The patient successfully underwent combined laparoscopic wedge resection and omental patch repair, demonstrating the feasibility of this minimall

SUBMITTER: Farahani PK 

PROVIDER: S-EPMC12317564 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature