Rare case of dual gastrointestinal perforations

David Hudson, Jonathan Foo, Jason Robertson

Research output: Contribution to journalArticle


A 49-year-old man presented to the nearest emergency department profoundly septic with significantly raised inflammatory markers. He had a background of floor of mouth invasive squamous cell carcinoma for which he underwent complex head and neck surgery followed by adjuvant radiotherapy and insertion of a percutaneous gastrostomy tube for feeding. He experienced 3 weeks of retching, cough and malaise. Imaging revealed both an oesophageal perforation and perforated duodenal ulcer, presumed secondary to oesophageal stricturing from his prior surgery and radiotherapy.

Original languageEnglish
JournalBMJ Case Reports
Issue number3
Publication statusPublished - 19 Mar 2020

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