AI Article Synopsis
- An 85-year-old woman visited the emergency department due to sudden upper abdominal pain, following a month of anorexia and suspected gastric ulcer by her local physician.
- A CT scan revealed free air in the abdomen and abnormalities in the gastric wall, leading to a diagnosis of perforated gastric ulcer, prompting an emergency operation.
- During surgery, a 5 mm perforation was found, and a distal gastrectomy was performed, ultimately revealing malignant gastric lymphoma, but chemotherapy was not administered due to her age and condition; she remained recurrence-free 8 months post-surgery.
Article Abstract
An 85-year-old female patient presented to the emergency department with the chief complaint of sudden upper abdominal pain. The patient suffered from anorexia and epigastric pain for a month, and a local physician suspected a diagnosis of gastric ulcer. An abdominal computed tomography(CT)scan showed intraperitoneal free air as well as irregular thickening and thinning of the gastric wall. Gastric ulcer perforation was suspected, and an emergency operation was performed. Surgical findings showed thickening of the gastric wall in the pylorus and gastric corpus but partial thinning of areas of the anterior wall of the gastric corpus with a perforation measuring 5 mm. A distal gastrectomy and reconstruction were performed using the Billroth Ⅱ method. The histopathological diagnosis was malignant gastric lymphoma(diffuse large B- cell lymphoma). Considering the patient's age and general condition, chemotherapy was not administered after surgery. The patient was alive without recurrence 8 months after the operation.
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