Single Incision Laparoscopic Peptic Ulcer Repair with the Us
Case Presentation

A 68-year-old woman with a body mass index of 30.3 kg/m2 was admitted to the emergency room for pain in the upper abdomen since few hours. She presented to the emergency department with a history of abdominal pain of 12 h duration that was gradual in onset, beginning epigastric then becoming generalized. The pain was associated with nausea and vomiting. She is known to have Addison’s disease and was recently placed on high dose steroids without gastric protection. Initial examination revealed a dehydrated patient with blood pressure of 130/84 and pulse rate of 54/min to 110/min. Her abdomen exhibited generalized peritonitis with increased intensity in epigastrium with guarding and rebound tenderness....