Abstract
A case of repetitive gastric perforation is presented. A 57-year-old woman developed acute abdominal pain, and free air was detected in the abdomen on computed tomography (CT) scan. The patient was given an antibiotic intravenously ; while the patient was fasting, total parenteral nutrition was administered. This scenario was repeated three times in nine months. Wedge resection of the stomach and abdominal drainage were performed because an intra-abdominal abscess was detected on CT scan during the third episode. The patient was discharged without postoperative complications on the 11th day after surgery. No specific inflammation or cause of perforation was detected on histopathlogy ; chronic fistula formation after endoscopic treatment for a hemorrhagic ulcer was the suspected cause of the gastric perforation.
