[Primary ulcer of the small intestine]

A Case was demonstrated of perforated primary ulcer of jejunum in a young man aged 19. The ulcer was located on the antimesenterial side of the first jejunal twisting about 8 cm. from the duodeno-jejunal flexure. Besides this perforated ulcer, there was another one on the lower part of jejunum, just close to the mesenterial root, about 20 cm. away from the flexure. It was a covered perforation. Clinically, there existed a picture of acute abdomen; this patient was successfully treated by urgent laparotomy. A resection was made of the altered segment of jejunum in length of 40 cm. along with the reestablishment of the continuity by T-T anastomosis. Careful washing of peritoneal cavity and drainage of the Douglas cavity were further procedures.