Peritonitis after Peptic Ulcer and Appendicitis Wound Simultaneous Perforation: A Case Report

Peritonitis is one of the most important emergency abdominal surgeries which mostly occurs due to intra-abdominal visceral perforation.

The patient was a 54-year-old man referred to the emergency department for abdominal pain and inability in passing gas and defecation. In physical examination, there was a generalized tenderness with guarding; in the image, pneumoperitoneum and in the laboratory test, leukocytosis with left shift. The patient had a perforated peptic ulcer and also perforated appendicitis which underwent the emergent laparotomy. He was treated by the appendectomy. The patient was discharged after 5 days with a good general condition after taking the drug with the Helicobacter pylori and normal regimen; and in the follow-up of the patient in the clinic, the patient was good.

In people who refer with generalized abdominal pain and undergo laparotomy while in the initial examination, an early pathology is evident; it is recommended that other areas of the abdomen be investigated