Unusual Presentation of an Everest Trekker

Gastro-intestinal symptoms including nausea, vomiting, and abdominal pain are common in high altitude areas of Nepal due to Acute Mountain Sickness (AMS) or due to a gastro-intestinal illness. Occasionally complications of common conditions manifest at high altitude and delay in diagnosis could be catastrophic for the patient presenting with these symptoms. We present a rare case of duodenal ulcer perforation at high altitude. Timely evacuation from high altitude, proper diagnosis and prompt treatment are essential for taking care of such patients.