Laparoscopic management of perforation of a manginal ulcer following anterior gastrojejunostomy

ABSTRACT

Marginal ulcer is a well-known complication following gastrojejunostomy especially if vagotomy is not done or is incomplete and in anterior gastrojejunostomies. We report a case of marginal ulcer perforation in a 45-year old male who presented with peritonitis and a history of undergoing surgery for peptic ulcer disease 20 years back. Diagnostic laparoscopy revealed extensive soiling and a 1.5cm perforation on the efferent Loop of an anterior gastrojejunostomy Laparoscopic closure was done. There are only few reports of similar conditions published in the literature. With experience, it is feasible to use laparoscopy for the management of uncommon acute conditions like this one