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Case Reports in Surgery
Volume 2016 (2016), Article ID 4681989, 3 pages
http://dx.doi.org/10.1155/2016/4681989
Case Report

Management of Giant Gastric Ulcer Perforation: Report of a Case and Review of the Literature

1Department of Surgical Gastroenterology, Max Super Speciality Hospital, Saket, New Delhi 110017, India
2Department of Radiology, Max Super Speciality Hospital, Saket, New Delhi 110017, India
3Department of Gastroenterology & Hepatology, Max Super Speciality Hospital, Saket, New Delhi 110017, India

Received 30 July 2016; Revised 19 November 2016; Accepted 22 November 2016

Academic Editor: Steve de Castro

Copyright © 2016 Nitin Vashistha et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Giant gastric ulcer (GGU) is defined as an ulcer more than 3 cm in diameter. Now infrequent in clinical practice, in the pre-H2 receptor antagonist (H2RA) era, the incidence of GGU varied between 12 and 24% of all gastric ulcers. Proton pump inhibitors reportedly achieve better healing rates and symptom relief in comparison to H2RA. The GGU is associated with high incidence of serious complications such as hemorrhage. A perforated GGU though rare (<2%) offers serious challenges in management. We report one such case wherein the role of multidetector CT scan (MDCT) for diagnosis and treatment planning, surgical options for GGU perforations, and factors affecting outcome are discussed.