Marginal Ulcer Perforation in a Whipple Survivor: A Rare Long-Term Complication

Long-term complications following pancreaticoduodenectomy are rarely reported because of the poor longterm survival of these patients. Marginal ulcers can occur in both the short and long term, and they can become complicated by bleeding or perforation. Marginal ulcer with perforation is a rare incidence and only sparse literature evidence is available. Herein, we report on a patient who underwent pancreaticoduodenectomy 12 years ago for duodenal adenocarcinoma and was diagnosed to have perforation peritonitis. He underwent emergency laparotomy and lavage, and omental patch closure for marginal ulcer perforation at the gastrojejunostomy site. Truncal vagotomy and feeding jejunostomy were also done.

Automated summary

Long-term complications of pancreaticoduodenectomy are uncommon due to poor long-term survival. Marginal ulcers can occur in both short and long term, and can lead to bleeding or perforation. This study reports a rare case of perforation peritonitis in a patient who underwent pancreaticoduodenectomy 12 years ago.