During laparoscopic cholecystectomy (LC) there is possibility of discovering concomitant
occult intra-abdominal pathology and the surgeon must be prepared to undertake the
appropriate procedure. We evaluated the incidence of latent perforated duodenal ulcer
in 5539 patients who underwent LC for gallstone disease at our unit between November
1991 and November 2001. Seven (0.13 %) cases of perforated duodenal ulcer were discovered.
Following the diagnosis of the perforation, laparoscopic suturing and omental patch
repair was carried out in four patients, open repair with selective vagotomy and pyloroplasty
in two patients and an open suture and omental patch repair in one patient. In all
cases the cholesystectomy was completed successfully.
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M. M. Konstadoulakis, M. D.
Kalvou 24, P · Psychiko · 15452 Athens · Greece
Fax: + 30-210-6722259
eMail: labsures@med.uoa.gr; labsures@yahoo.com
