• Gang Chen, Min-Min Zhang, Jun-Min Zhu, Jie Mao, and Yu-Min Li.
• Department of General Surgery, Second Hospital of Lanzhou University, Lanzhou, Gansu, China.
• J Coll Physicians Surg Pak. 2021 Aug 1; 31 (8): 978-981.

AbstractThe concept of damage control surgery was first introduced in the 1990s. It has great significance in the treatment for critically ill patients, which not only greatly improves survival rate, but also helps doctors avoiding misdiagnosis and mistreatment. Herein, we present a case of gastric perforation caused by neoplasm with critical condition of the patient. According to the concept of damage control surgery, the patient was subjected to perforation repair and tumor biopsy instead of conventional radical gastrectomy. Then, diffuse large B cell lymphoma was diagnosed on pathologic examination. After surgery, the patient received R-CHOP chemotherapy according to the clinical guidelines and is alive till now. Our experience might be helpful for understanding the value of damage control surgery in avoiding misdiagnosis and mistreatment for critical emergency patients. Key Words: Lymphoma, Stomach, Perforation, Damage control surgery.

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