Hyperacute Gastric Perforation: A Rare Presentation In The Post-Operative Period

Stress-related gastric ulceration and their perforation have become history because of the research and development of highly effective anti-ulcer drug and their affordability and availability across our country. We present an interesting and thought-provoking case of a 46-year-old female, with stress-related gastric perforation who developed the complication in a span of only 2 days of physiological insult.

Pyloric Stenosis Due To Brunneroma Masquerading As Peptic Ulcer Complication

A 42-year-male presented to the surgical emergency with features of severe gastric outlet obstruction. On investigation, upper gastrointestinal series showed features suggestive of a near complete gastric outlet obstruction. Endoscopy revealed multiple antral ulcers with near complete pyloric stenosis, features suggestive of complications arising out of antral ulcers. Biopsy report revealed Brunner’s gland hyperplasia. A unique aspect about the case is the finding of antral ulcers associated with Brunner’s gland hyperplasia. The patient underwent laparoscopic distal gastrectomy with gastrojejunostomy. A high index of suspicion of Brunner cell hyperplasia in case of the patient presenting with features suggestive of pyloric stenosis is the crux of diagnosis in view of the malignant potential of Brunner cell hyperplasia.