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Despite advancements in prevention and treatment, peptic ulcer disease (PUD) remains a public health burden, with potentially high mortality rates when not managed properly. Recent studies indicate bleeding as the most prevalent complication, followed by perforation or penetration into adjacent organs and pyloric obstruction. In rare cases, posterior wall or greater curvature ulcers of the stomach can penetrate, leading to splenic artery pseudoaneurysms.

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Case Report: We present the successful management of the consequences of voluntary knife ingestion in a 24-year-old male with undocumented psychiatric disorders. The patient was admitted to the emergency department with a fistulized epigastric skin abscess, with the tip of a knife protruding from it. This extraordinary case involved the migration of an ingested knife, which perforated the stomach and externalized through an epigastric abscess.

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Human injury due to porcupine quill attack is quite unusual, as their interaction is very rare owing to their habitat. However encroachment into their wildlife can cause grave injuries due to their quills, which are modified keratin having backward facing sharp barbs. The injuries resulting from porcupine quill may cause pain, infection, foreign body reactions, vascular trauma, gastric perforations and are difficult to retrieve because of their structure.

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Complications of gastrostomy tube placement and enteral feeding are common. However, most are minor and without serious adverse effects, such as superficial skin infections, peristomal leakage, tube dislodgement, and minor bleeding. Misplacement of a gastrostomy tube through the anterior and posterior gastric walls is a rare but serious complication.

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Background: Gastric ulcer perforation is a critical condition that can lead to significant morbidity and mortality if not promptly addressed. It is often the result of chronic peptic ulcer disease, which is characterized by a breach in the gastric wall due to ulceration. Surgical intervention is essential for managing this life-threatening complication.

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