2025 Volume 51 Issue 2 Pages 54-57
An 80-year-old female sustained a scald burn covering 25% of her Total Body Surface Area, with a Burn Index of 20, affecting the anterior chest, right side of the abdomen and back, right upper extremity, and right lower leg. On the 5th day, we performed debridement and skin grafting. On the 9th day, analgesics were changed to oral nonsteroidal anti-inflammatory drugs. A proton pump inhibitor was administered to prevent peptic ulcer; however, on the 11th day, it was discontinued due to good oral intake. On the 38th day, the patient suddenly complained of abdominal pain. CT of the abdomen showed ascites collection and free air. As there was no burn wound on the mid-section of the abdomen and the patient was elderly, we selected laparotomy. A perforation was made in the anterior wall of the duodenal bulb. A simple suture repair with a greater omentum patch was performed, and a drain was inserted into the perforation site through a gap between the burn wounds on the right side of the abdomen. The patient had a good postoperative course and was transferred to the hospital on the 82nd day.
