An Old Gastrojejunal Anastomotic Site Perforation Presenting as Acute Abdomen: A Case Report

Complications most frequently encountered with GastroJejunal anastomosis after a bypass procedure are Marginal ulcer, GI bleeding and strictures. Marginal ulceration (MU) at the anastomotic site after gastric bypass is a well-recognized complication. Its incidence varies between 1% and 16%. Direct exposure of gastric acid is the important cause of ulcer formation which may get further complicated by the use of NSAID's, alcohol intake and smoking. But perforation secondary to ulceration at anastomotic site is very rare and seldom reported. We report a case of 37 year old male patient who developed perforation at the gastrojejunal anastomotic site of old gastrojejunostomy for peptic ulcer disease.