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

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.