ArticleInternational journal of surgery case reports2026
Perforated marginal ulcers - what are the surgical options - simple closure or is definitive surgery needed? A case report.
Article in International journal of surgery case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Proximal jejunal perforation by an ingested toothpick: a rare case report.International journal of surgery case reports · 2026Article
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6 authors.
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Abstract
Introduction and importance: Marginal ulceration is an uncommon complication following gastrojejunostomy. Perforation of such ulcers is rare but potentially life-threatening, particularly in the era of widespread proton pump inhibitor use. Case presentation: We report a 54-year-old man and heavy smoker who presented with acute abdominal pain and vomiting, 3 years after an open gastrojejunostomy performed for a complicated duodenal ulcer. Clinical examination revealed diffuse epigastric tenderness and signs of peritonitis. Laboratory tests showed leukocytosis. Abdominal CT revealed pneumoperitoneum near the gastrojejunostomy, suggesting a perforated marginal ulcer. The patient underwent emergency laparotomy, which confirmed a 1-cm perforation on the jejunal side. Primary closure was performed. Postoperatively, he received proton pump inhibitors and Clinical discussion: The role of Conclusion: Perforated marginal ulcer is a rare but serious complication. Prompt diagnosis and surgical management are critical. In selected cases, primary closure or omental patch repair is effective, with postoperative acid suppression essential to prevent recurrence.
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