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Mr. Amir, a 66-year-old male, presented with 14 hours of sharp, continuous upper abdominal pain that was increasing in severity. He had vomited several times and his abdomen was distended. Examination found tachycardia, tachypnea, fever, and abdominal tenderness. Tests showed anemia and leukocytosis. Imaging found free air under the diaphragm. He underwent laparotomy which found a 1cm perforated duodenal ulcer that was repaired. He was treated with antibiotics and proton pump inhibitors and discharged after

Author
syudud
Language
EN

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