{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:06:26Z","timestamp":1787169986177,"version":"build-2736575974"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:p>Posterior gastric perforation is a very rare finding, difficult to diagnose due to the insidious onset of upper abdominal symptoms, and no air under the diaphragm on X-ray. Posterior gastric perforation which opens into transverse mesocolon is even rarer. This is a case report done to entail such a rare case, with only two cases reported in the past. We present the case of a 21-year-old female with pain in the epigastric region spreading to involve the whole abdomen, fever, vomiting, and anorexia. In our case, radiological findings revealed pneumoperitoneum. Intraoperatively, a tract was identified between the posterior wall of the stomach and transverse mesocolon. Tract was excised and primary repair was done using the Graham patch method.<\/jats:p>","DOI":"10.4103\/ijabmr.ijabmr_92_23","type":"journal-article","created":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T13:00:23Z","timestamp":1696078823000},"page":"189-191","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Posterior Gastric Perforation with an Opening in Transverse Mesocolon: A Rare Case Report"],"prefix":"10.4103","volume":"13","author":[{"given":"Anand","family":"Singla","sequence":"first","affiliation":[{"name":"Department of General Surgery, GMC and Rajindra Hospital, Patiala, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandeep","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of General Surgery, GMC and Rajindra Hospital, Patiala, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gagandeep","family":"Kaur","sequence":"additional","affiliation":[{"name":"Department of General Surgery, GMC and Rajindra Hospital, Patiala, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepak","family":"Jindal","sequence":"additional","affiliation":[{"name":"Department of General Surgery, GMC and Rajindra Hospital, Patiala, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Navjot","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of General Surgery, GMC and Rajindra Hospital, Patiala, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sakini","family":"Langstang","sequence":"additional","affiliation":[{"name":"Department of General Surgery, GMC and Rajindra Hospital, Patiala, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,9,25]]},"reference":[{"key":"R1-20240902","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1159\/000323958","article-title":"Systematic review of the epidemiology of complicated peptic ulcer disease:Incidence, recurrence, risk factors and mortality","volume":"84","author":"Lau","year":"2011","journal-title":"Digestion"},{"key":"R2-20240902","doi-asserted-by":"crossref","first-page":"74","DOI":"10.4103\/1110-1121.176828","article-title":"A large posterior perforation of gastric ulcer:A rare surgical emergency","volume":"35","author":"Badawy","year":"2016","journal-title":"Egypt J Surg"},{"key":"R3-20240902","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1016\/j.surg.2003.11.001","article-title":"Posterior perforation of peptic ulcers:Presentation and outcome of an uncommon surgical emergency","volume":"135","author":"Wong","year":"2004","journal-title":"Surgery"},{"key":"R4-20240902","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1007\/s00068-017-0898-z","article-title":"Short- and long-term outcomes of surgical management of peptic ulcer complications in the era of proton pump inhibitors","volume":"44","author":"Hasadia","year":"2018","journal-title":"Eur J Trauma Emerg Surg"},{"key":"R5-20240902","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1002\/ams2.318","article-title":"Coin pica-induced gastric perforation resulting from ingestion of 1,894 coins, 8 kg in total:Case report and review of published works","volume":"5","author":"Sekiya","year":"2018","journal-title":"Acute Med Surg"},{"key":"R6-20240902","doi-asserted-by":"crossref","first-page":"1054","DOI":"10.1177\/000313481107700827","article-title":"Helicobacter pylori is not the predominant etiology for peptic ulcers requiring operation","volume":"77","author":"Zelickson","year":"2011","journal-title":"Am Surg"},{"key":"R7-20240902","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1159\/000264653","article-title":"Perforated peptic ulcer disease:A review of history and treatment","volume":"27","author":"Bertleff","year":"2010","journal-title":"Dig Surg"},{"key":"R8-20240902","doi-asserted-by":"crossref","first-page":"347","DOI":"10.3748\/wjg.v19.i3.347","article-title":"Epidemiology of perforated peptic ulcer:Age- and gender-adjusted analysis of incidence and mortality","volume":"19","author":"Thorsen","year":"2013","journal-title":"World J Gastroenterol"},{"key":"R9-20240902","doi-asserted-by":"crossref","first-page":"143","DOI":"10.9734\/jpri\/2021\/v33i58B34183","article-title":"Posterior gastric perforation \u2013rare surgical emergency:A case report","volume":"33","author":"Nagtode","year":"2021","journal-title":"Journal of Pharmaceutical Research International"},{"key":"R10-20240902","doi-asserted-by":"crossref","first-page":"411","DOI":"10.36347\/sasjs.2021.v07i08.002","article-title":"Dorsal stomach perforation by peptic ulcer. 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