Abdominal pain is one of the common presentations in
severe dengue infection. We report a rare case of perforated
gastric ulcer in a young man diagnosed with severe dengue
infection and the challenges we faced in managing this
patient. Perforated gastric ulcer need to be considered if
there are signs of peritonitis and persistent abdominal pain
that does not conform to the natural history of dengue.
Proper imaging and early surgical intervention in perforated
gastric ulcer is vital in preventing further complication and
reducing the risk of mortality.