2018 Volume 43 Issue 6 Pages 1053-1058
A 99-year-old woman visited our hospital with the complaint of lower abdominal pain. Examination revealed tenderness over the entire abdomen with muscular rigidity. Abdominal CT revealed free peritoneal air and ascites, but the exact location of the perforation was not clear. We performed an emergency diagnostic laparoscopy for the purpose detecting the location of the intestinal perforation and found a perforation of the duodenum. We performed simple closure and omental patch repair. She had no postoperative complications and left the hospital on the 12th hospital day, with no decline in the activities of daily living.