Acta Scientific Gastrointestinal Disorders (ASGIS)(ISSN: 2582-1091)

Case Report Volume 4 Issue 6

Perforated Gastric Ulcer Repair in the COVID-19 Pandemic Era; A Case Report and Literature Review

Afiq Aizat R, Ida Nadiah AF, Noor Shairah MB, Yahya MA and Mohd Firdaus Che Ani*

General Surgery Unit, Surgical Cluster, Faculty of Medicine, Universiti Teknologi MARA, Sg Buloh, Malaysia

*Corresponding Author: Mohd Firdaus Che Ani, General Surgery Unit, Surgical Cluster, Faculty of Medicine, Universiti Teknologi MARA, Sg Buloh, Malaysia.

Received: May 01, 2021; Published: May 07, 2021


  Perforated gastric ulcer (PGU) is a relatively common cause of peritonitis in elderly on long-term NSAIDS. Treatment algorithm however differs from center to center on managing this condition. Plenty of recommendations available on the literature at the moment to guide young surgeons in how to best manage patient in such situations. We are sharing our experience in managing case of a 76-years-old lady with perforated gastric ulcer who presented in septic shock during COVID-19 pandemic. We aim to highlight the process in decision making on timing of the surgical exploration and intervention and the factors that guide clinicians on the decision making.

Keywords: Peptic Ulcer Disease; Covid-19 Pandemic


  1. Byrne BE., et al. “Short-term outcomes after emergency surgery for complicated peptic ulcer disease from the UK National Emergency Laparotomy Audit: A cohort study”. BMJ Open8 (2018): e023721.
  2. Patel S., et al. “Validation of prognostic scoring systems for predicting 30-day mortality in perforated Peptic Ulcer Disease”. Turkish Journal of Surgery 4 (2019): 252-258.
  3. Serban D., et al. “Acute surgical abdomen during the COVID‑19 pandemic: Clinical and therapeutic challenges”. Experimental and Therapeutic Medicine 5 (2021): 519.
  4. Aggarwal G., et al. “Evaluation of the Collaborative Use of an Evidence-Based Care Bundle in Emergency Laparotomy”. JAMA Surgery5 (2019): e190145.
  5. Thahir A., et al. “Mortality risk scoring in emergency general surgery: Are we using the best tool?” Journal of Perioperative Practice 4 (2021): 153-158.
  6. Pinto-Lopes R., et al. “An Analysis of the Decision-Making Process After “Decision not to Operate” in Acutely Unwell, High-Risk General Surgery Patients”. American Journal of Hospice and Palliative Medicine 8 (2020): 632-635.
  7. Thorsen K., et al. “Scoring systems for outcome prediction in patients with perforated peptic ulcer”. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 1 (2013): 25.
  8. Eliezer DD., et al. “High-Risk Emergency Laparotomy in Australia: Comparing NELA, P-POSSUM, and ACS-NSQIP Calculators”. Journal of Surgical Research 246 (2020): 300-304.
  9. Parmar KL., et al. “Influence of frailty in older patients undergoing emergency laparotomy: A UK-based observational study”. BMJ Open10 (2017): e017928.
  10. Ho YM., et al. “Benchmarking against the National Emergency Laparotomy Audit recommendations”. ANZ Journal of Surgery 5 (2018): 428-433.


Citation: Mohd Firdaus Che Ani., et al. “Perforated Gastric Ulcer Repair in the COVID-19 Pandemic Era; A Case Report and Literature Review”. Acta Scientific Gastrointestinal Disorders 4.6 (2021): 14-17.


Copyright: © 2021 Mohd Firdaus Che Ani., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Acceptance rate35%
Acceptance to publication20-30 days

Indexed In

News and Events

  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is July 10, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US