Volume :
4
Issue :
2
Abstract :
Acid peptic disease (APD) is highly prevalent disease in modern society, with an incidence rate of 5-15%. [1] APD has multiple complications, among them Perforation of the ulcer is the most lethal one, having mortality rate up to 15%. Peptic perforation may be the initial presentation of APD. Perforation of ulcer can be seen in 2-10% of APD patients. [2] Patient’s presenting with simultaneous duodenal and giant gastric perforation is rare entity. [4] Most of these cases are dealt by classical surgical approaches. In this case, an unstable chronic liver disease (CLD) patient with portal hypertension (PHT) presented with giant pyloric perforation and duodenal perforation simultaneously associated with H.pylori infection. Patient was treated with non-classical approach, wherein two perforations were converted into single perforation and closed by Mikulicz Pyloroplasty (MP).