International Journal of Academic Health and Medical Research (IJAHMR)   Year: 2023 | Volume: 7 | Issue: 2 | Page No.: 151-156 Perforating Duodenal Ulcer in Situs Inversus and Asplenia: A Case Report Download PDF Bahri Mohamed Oussama , Anis Tarek ,Bouasria abdessalam , Mouaqit Ouadii, Benjelloun El Bachir, Ousadden Abdelmalek, Ait Taleb Khalid, El Bouhaddouti Hicham Abstract: Peptic ulcer is a disease that has long been considered? chronic, it is defined anatomically by a loss of substance of the wall of the stomach or duodenum exceeding the muscularis mucosae. It is an emergency that poses difficulties and problems that are still relevant? both prognostically and therapeutically. The treatment is surgical except in rare cases or medical treatment remains the choice . We report the case of a patient presents a peritonitis by ulcer perforation with situs inversus with an asplenia . The situs inversus is an infrequent anomaly, the visceral situs inversus can be total or partial. Peritonitis due to peptic ulcer perforation is still one of the most frequent and fearful complications.