Gastric Perforation Necessitating Splenectomy

Gastric perforations can rarely cause splenic erosion from irritation of gastric contents spilling into the peritoneum. This case describes a 51-year-old female on chronic steroid use due to Addison's disease who presents with a gastric perforation involving the splenic hilum. Computed tomography showed a posterior gastric perforation with splenic erosion of a foreign body. Due to her abdominal exam, surgery for abdominal peritonitis was performed. The patient was found to have a pill that had eroded into the splenic hilum after passing through a gastric perforation. This required concomitant Graham patch repair and splenectomy.