Arab Board Surgery Final Written Practice Questions - Arab Board General Surgery Final Written Examination Exam

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A 48-year-old man presents with sudden-onset diffuse severe peritonitis. An erect chest radiograph shows pneumoperitoneum under the right hemidiaphragm. At laparotomy 4 hours after symptom onset, a 6-mm perforated ulcer is identified on the anterior wall of the first part of the duodenum with mild local inflammation. What is the standard surgical repair of choice?

Primary suture closure reinforced with a vascularized omental pedicle patch (Graham patch) Antrectomy with Billroth II gastrojejunostomy and truncal vagotomy Total gastrectomy with Roux-en-Y reconstruction Simple tube duodenostomy without defect closure

Correct Answer:

Primary suture closure reinforced with a vascularized omental pedicle patch (Graham patch)

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