Early Postoperative Endoscopic Findings Following Oversewn Repair of Prepyloric Ulcer Perforation: A Case Report

Early postoperative endoscopic evaluation after repair of a perforated gastroduodenal ulcer is rarely performed due to concerns regarding disruption of the surgical closure. We report a patient who underwent primary sutured repair with omental reinforcement for a prepyloric ulcer perforation and subsequently developed postoperative anemia without an identifiable source of bleeding. Initial imaging, including computed tomography angiography, revealed no evidence of active arterial bleeding, prompting a carefully planned endoscopic evaluation in the third postoperative week. Endoscopy demonstrated an intact suture line with healthy granulation tissue and visible intraluminal Vicryl sutures, without evidence of bleeding or dehiscence. This case highlights that early postoperative endoscopic assessment can be safely performed when clinically indicated and provides valuable insight into the intraluminal healing process following oversewn ulcer perforation repair.