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Updated: Dec 25, 2025

Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Rare case of dual gastrointestinal perforations
David Hudson1, Jonathan Foo2,3, Jason Robertson2
1Department of General Surgery, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia David.Hudson@health.wa.gov.au.
Abstract:
A 49-year-old man presented to the nearest emergency department profoundly septic with significantly raised inflammatory markers. He had a background of floor of mouth invasive squamous cell carcinoma for which he underwent complex head and neck surgery followed by adjuvant radiotherapy and insertion of a percutaneous gastrostomy tube for feeding. He experienced 3 weeks of retching, cough and malaise. Imaging revealed both an oesophageal perforation and perforated duodenal ulcer, presumed secondary to oesophageal stricturing from his prior surgery and radiotherapy.
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