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Case Reports
. 2024 Oct 8;16(10):e71091.
doi: 10.7759/cureus.71091. eCollection 2024 Oct.

Gastric Perforation Necessitating Splenectomy

Kalvin Zee  1 , Maianh Tran  1 , Noah Pirozzi  1 , Joseph Losh  1
Affiliations
Case Reports

Gastric Perforation Necessitating Splenectomy

Kalvin Zee et al. Cureus. .

Abstract

Gastric perforations can rarely cause splenic erosion from irritation of gastric contents spilling into the peritoneum. This case describes a 51-year-old female on chronic steroid use due to Addison's disease who presents with a gastric perforation involving the splenic hilum. Computed tomography showed a posterior gastric perforation with splenic erosion of a foreign body. Due to her abdominal exam, surgery for abdominal peritonitis was performed. The patient was found to have a pill that had eroded into the splenic hilum after passing through a gastric perforation. This required concomitant Graham patch repair and splenectomy.

Keywords: enteric pills; foreign body; gastric ulcer perforation; modified graham's patch; total splenectomy.

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Conflict of interest statement

Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Axial view of perforated gastric ulcer and contiguous splenic erosion with a foreign body posteriorly
Figure 2
Figure 2. Coronal view of the splenic irritation
See this image and copyright information in PMC

References

    1. Sigmon DF, Tuma F, Kamel BG, Cassaro S. StatPearls [Internet] Treasure Island (FL): StatPearls Publishing; 2024. Gastric perforation. - PubMed
    1. Splenic penetration by a benign gastric ulcer: preoperative computed tomographic diagnosis. Killeen KL, DeMeo JH, Mullaney JM. Emergency Radiol. 1997;4:91–93.
    1. The radiopacity of ingested medications. Savitt DL, Hawkins HH, Roberts JR. Ann Emerg Med. 1987;16:331–339. - PubMed
    1. A simple and inexpensive enteric-coated capsule for delivery of acid-labile macromolecules to the small intestine. Miller DS, Parsons AM, Bresland J, et al. J Zhejiang Univ Sci B. 2015;16:586–592. - PMC - PubMed
    1. Splenic abscess: a rare adverse event of a benign penetrating gastric ulcer. Judd S, Vanama R, Levi E, Antaki F. Gastrointest Endosc. 2015;82:174–175. - PubMed

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