A 75 year old female was referred from peripheral hospital as case of DU perforation. X-ray erect abdomen showed gas under diaphragm.2D-ECHO showed severe mitral stenosis, atrial fibrillation with EF55%. Chest radiograph showed bilateral lower zone congestion. Patient was not fit for any type of anaesthesia and deteriorating. Patient was operated under field block anaesthesia and the closure of DU was done. Abdominal field block anaesthesia was given with prior intravenous/intramuscular sedation. This was the first case to be operated under field block anaesthesia in our institute.
Laparotomy, Transverse abdominis plane, Field Block Anaesthesia, DU perforation