Endoscopic Discovery of Asthenic Peritonitis Due to Gastric Perforation: About A Case at The Teaching Hospital Center of Kara (CHU KARA)

Authors report a case of asthenic peritonitis due to gastric perforation, discovered during upper endoscopy, performed at CHU Kara. It was about a 57 years old patient, alcoholic and tobacco addict who presented a chronic epigastric pain that has been progressing for 6 months, treated in the traditional way without improvement. There has been an exacerbation of the pain for 3 months, associated with intermittent vomiting; containing food debris and significant weight loss (8 kilograms for 03 months). Esogastroduodenal fibroscopy revealed a large tumor-like antral injury with a large oval perforation of approximately 30 mm in the breast. Histological examination of the biopsies revealed moderate differentiated adenocarcinoma and the presence of Helicobacter pylori. The patient has been immediately referred for surgery where he underwent a 4/5 gastrectomy associated with a peritonitis cure. The postoperative period has been marked by death, from a septic shock.