An Unusual Localization Of Spontaneous Gastric Perforation: A Case Report
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Case Report
P: 101-103
August 2011

An Unusual Localization Of Spontaneous Gastric Perforation: A Case Report

J Ankara Univ Fac Med 2011;64(2):101-103
1. Plastic, Reconstructive Surgery Clinic, Kahramanmaraș Government Hospital, Kahramanmaraș, Turkey
2. Department of General Surgery, Sivas Cumhuriyet University, Faculty of Medicine, Sivas Turkey
3. Department of Plastic, Reconstructive and Aesthetic Surgery, Ankara University, Faculty of Medicine, Ankara, Turkey
No information available.
No information available
Received Date: 12.02.2010
Accepted Date: 13.08.2011
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ABSTRACT

A 75 year- old male patient was admitted to Plastic Surgery Department complained a painless mass on his left frontal skin area. Histopathological examination was diagnosed the squamose cell carcinoma of the scalp. The tumor was excised widely and reconstructed with a left Chinese free flap. An unlocalised epigastric pain and uncontrolled hiccups was started on the first day after the operation. A plain abdominal roentgenogram and computed tomography demonstrated a large amount free air under the diaphragm. A laparotomy was performed under the diagnosis of gastrointestinal perforation, a perforation of the posterior wall of the gastric fundus was found. The patient died due to myocardial infarct on postoperative ten days. Spontaneous gastric perforation is very rare condition.

Keywords:
Spontaneous gastric perforation
free flap complication
stress ulcer