%0 Case Reports %T Posterior Gastric Perforation with an Opening in Transverse Mesocolon: A Rare Case Report. %A Singla A %A Singh S %A Kaur G %A Jindal D %A Singh N %A Langstang S %J Int J Appl Basic Med Res %V 13 %N 3 %D 2023 Jul-Sep %M 38023602 暂无%R 10.4103/ijabmr.ijabmr_92_23 %X Posterior gastric perforation is a very rare finding, difficult to diagnose due to the insidious onset of upper abdominal symptoms, and no air under the diaphragm on X-ray. Posterior gastric perforation which opens into transverse mesocolon is even rarer. This is a case report done to entail such a rare case, with only two cases reported in the past. We present the case of a 21-year-old female with pain in the epigastric region spreading to involve the whole abdomen, fever, vomiting, and anorexia. In our case, radiological findings revealed pneumoperitoneum. Intraoperatively, a tract was identified between the posterior wall of the stomach and transverse mesocolon. Tract was excised and primary repair was done using the Graham patch method.