Gastric Perforation in Ndola- Zambia: A Case Report

It is known that there is problem of gastric perforation (GP) in Africa, in the Japanese and the Western countries. However it occurs much less frequently [1,2]. Some cases have been free perforation and some have been major bleeding in patients with gastric cancer. Perforations are serious conditions with potentially dangerous effects however they are rare [3]. There is also evidence that neonatal gastric perforation (GP) does occur but it is a very rare event. It is associated with a poor prognosis and there is still much debate about its etiology [4]. It is believed that the perforation occurs in the lesser curvature and anterior wall of the stomach. Some authors think that gastric Perforation (GP), is caused by a mechanical rupture of the stomach wall, as a result of increased intragastric pressure, in adults, full-term and premature infants [5]. There is also a theoretical concern that the capnoperitoneum (Increased intra-abdominal pressure 10-12mmHg), may aggravate peritonitis and induce septic shock. It is associated with a poor prognosis [6]. The Gastric perforation is also seen that one of four ulcer perforations can be attributed to the use of nonsteroidal anti-inflammatory drugs, a risk factor of particular in the elderly [2]. In peptic ulcer or gastric perforation, Endoscopy and or Laparoscopy are being increasingly used in conditions even though there is complication of peritonitis [7-9].