Double-sided gastric perforation after a motorcycle accident in Korea: A case report

Figure 1 External appearance at initial evaluation. The patient only had an abrasion in the right upper abdomen.

Figure 2 Preoperative computed tomography. A: Anterior wall gastric perforation with pneumoperitoneum; B: Posterior wall gastric perforation with fluid collection.

Figure 3 Intraoperative images. A: A full-thickness irregularly shaped perforation on the anterior wall of the stomach with food contents measuring 10 cm. Lacerations in the lateral section of the left liver lobe; B: A full-thickness perforation on the posterior wall of the stomach measuring 8 cm × 10 cm; C and D: Intraoperative findings after primary repair of stomach. The anterior wall of the stomach was repaired using two linear staplers because of the irregular shape of the perforation (C), whereas the posterior wall of the stomach was repaired using one linear stapler (100 mm; GIA stapler with DST Series technology, Medtronic) (D).

Figure 4 Design of surgical repair. Primary closure of the stomach on both sides of the perforation using linear staplers.