ABSTRACT
How would you perform an open repair of a perforated peptic ulcer? What would your postoperative management be? What is the differential diagnosis with the same clinical presentation? Name four features of pneumoperitoneum on plain radiographs What is the most common cause of free intra-abdominal gas? Does the absence of air under the diaphragm on an erect chest radiograph exclude a perforated peptic ulcer? What conditions may mimic the appearance of a pneumoperitoneum? How much free gas needs to be present to be detected on plain erect chest radiograph? What are the typical presenting features of a perforated peptic ulcer? What do you understand by the term ‘right paracolic gutter phenomenon’? How do you perform an exploratory laparotomy?
