Peptic perforation is a surgical emergency that occurs when an ulcer in the stomach or duodenum (upper small intestine) creates a hole in the gastrointestinal wall. This leads to leakage of stomach acid and food into the abdominal cavity, causing severe infection (peritonitis) and requiring immediate surgical intervention.
Dr. K.K. Verma, a senior gastrointestinal and laparoscopic surgeon in Jabalpur, specializes in the urgent diagnosis and surgical management of peptic perforation using both open and laparoscopic techniques to save lives and ensure optimal recovery.
Peptic ulcers develop due to the erosion of the stomach or duodenal lining, and when left untreated, they can perforate.
Long-standing peptic or duodenal ulcers
Helicobacter pylori (H. pylori) infection
Prolonged use of NSAIDs (painkillers)
Smoking and alcohol abuse
Severe stress or trauma
History of ulcer disease or recent untreated GI symptoms
Sudden, severe abdominal pain
Pain that begins in the upper abdomen and spreads throughout
Rigid or board-like abdomen on touch
Nausea or vomiting
Fever and chills
Rapid heartbeat, low blood pressure
Inability to pass gas or stool
Signs of shock in severe cases
⚠️ This is a life-threatening emergency — immediate medical attention is essential.
Diagnosis is rapid and focused to confirm perforation and prepare for emergency surgery.
Acute abdominal tenderness Rebound pain and guarding Absence of bowel sounds.
Free air under the diaphragm (pneumoperitoneum) confirms perforation
Detects free fluid or air in the abdominal cavity
In uncertain cases, a CT scan gives detailed information about location and extent of perforation
Elevated WBC count (infection) Electrolyte imbalance Signs of dehydration or shock
The goal is to stop the leak, treat infection, and stabilize the patient.
Standard technique for small perforations A patch of omentum (fatty tissue) is used to seal th
Minimally invasive Preferred for early-detected and stable patients Faster recovery, reduced hospital stay, and less post-op pain
Required in unstable or complex cases Also done if perforation is large or there is extensive peritonitis
Thorough cleansing of the abdominal cavity to prevent further infection
After surgery, patients are shifted to ICU or monitored closely.
Liquid to soft food diet after bowel function resumes
To reduce acid production and prevent ulcer recurrence
If infection was the cause, antibiotics are given post-op to eradicate it
Avoid NSAIDs, alcohol, and smoking to prevent recurrence
Yes. If not treated urgently, it can lead to widespread infection (peritonitis), sepsis, and death.
Ideally within 6 hours of symptom onset for best outcomes.
No. Unlike uncomplicated ulcers, perforation always needs surgery.
You may be prescribed PPIs and antibiotics to heal and prevent ulcers. Long-term use is evaluated case-by-case.
Hospital stay is usually 5–7 days. Complete recovery in 2–3 weeks with proper care.
Dr. K.K. Verma is a renowned laparoscopic surgeon known for his precision and patient-centric care. With years of experience and advanced surgical skills, he specializes in minimally invasive procedures that ensure quicker recovery. His dedication to excellence has earned him the trust of countless patients.
shop no 29, 30, stadium ROAD, opposite Satya Ashoka Hotel, Wright Town, Jabalpur, Madhya Pradesh 482002
drkrishan.kant@gmail.com
+91-7835924276
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