International Journal of Academic Health and Medical Research (IJAHMR)   Year: 2024 | Volume: 8 | Issue: 3 | Page No.: 107-112 Large Perforations of Duodenal Ulcers Download PDF Sanati Yassine, Mohamed Habib Cherif, Ait Taleb Khalid, Benjelloun Elbachir, Mouaqit Ouadii, El bouhaddouti Hicham, Bouassria Abdesslam, Marghich Omar, Zerhouni Ahmed Abstract: Duodenal ulcer perforations are a common surgical emergency, but literature is silent on the exact definition, incidence, management and complications of large perforations of duodenal ulcers. There are three distinct types of perforations of duodenal ulcers that are encountered in clinical practice. The first, are the 'small' perforations that are easy to manage and have low morbidity and mortality. The second are the 'large' perforations, that are also not uncommon, and omental patch closure gives the best results even in this subset of patients. The word 'giant' should be reserved for perforations that exceed 3 cm in diameter, and these are extremely uncommon.