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CASE REPORT
Year : 2011  |  Volume : 20  |  Issue : 2  |  Page : 292-293

Perforated Peptic Ulcer (PPU) in Pregnancy during Ramadan Fasting


1 Department of Surgery, University of Maiduguri Teaching Hospital, PMB 1414 Maiduguri, Borno State, Nigeria
2 Department of Obstetrics and Gynaecology, University of Maiduguri Teaching Hospital, PMB 1414 Maiduguri, Borno State, Nigeria

Correspondence Address:
MBBS, FWACS B M Gali
Department of Surgery, University of Maiduguri Teaching Hospital, PMB 1414 Maiduguri, Borno State
Nigeria
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Source of Support: None, Conflict of Interest: None


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BACKGROUND: Perforated Peptic Ulcer (PPU) is extremely rare in pregnancy. We report a case of perforated peptic ulcer in pregnancy during Ramadan fasting. PATIENT AND METHODS: The patient is a 16 years old primigravida who presented with features of peritonitis at 28 weeks of gestation while fasting during Ramadan. Ultrasound scan reported a singleton live fetus at 28 weeks gestation. At laparotomy via upper midline incision; a 1cm roundish perforation located on the duodenum anteriorly was found with about a litre of gastric juice mixed with blood and food particles in the peritoneal cavity. The perforation was close transversely with omental patch (Modified Graham’s patch) and peritoneal lavage done with warm saline. She had a preterm delivery of a 1kg baby 3 days post-operatively by a spontaneous vaginal delivery, but the baby died 3 days later. CONCLUSIONS: Perforated Peptic Ulcer(PPU) though rare in pregnancy can occur and fasting can be a risk factor.


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