BACKGROUND: Its a dilemma to attempt a palliative procedure to debulk the tumour and/or prevent future obstructive complications in a locally advanced intra abdominal malignancy. CASE PRESENTATION: A 38 year old Vietnamese man presented with a carcinoma of the colon which had invaded the gallbladder and duodenum with a sealed perforation of the second part of the duodenum. Following surgical exploration, it was evident that primary closure of the perforated duodenum was not possible due to the presence of unresectable residual tumour. CONCLUSION: We describe a novel technique using a covered duodenal stent deployed at open surgery to aid closure of a malignant duodenal perforation.
BACKGROUND: Its a dilemma to attempt a palliative procedure to debulk the tumour and/or prevent future obstructive complications in a locally advanced intra abdominal malignancy. CASE PRESENTATION: A 38 year old Vietnamese man presented with a carcinoma of the colon which had invaded the gallbladder and duodenum with a sealed perforation of the second part of the duodenum. Following surgical exploration, it was evident that primary closure of the perforated duodenum was not possible due to the presence of unresectable residual tumour. CONCLUSION: We describe a novel technique using a covered duodenal stent deployed at open surgery to aid closure of a malignant duodenal perforation.
Authors: Eun H Seo; Min K Jung; Min J Park; Kwan S Park; Seong W Jeon; Chang M Cho; Won Y Tak; Young O Kweon; Sung K Kim; Yong H Choi Journal: J Gastroenterol Hepatol Date: 2007-12-13 Impact factor: 4.029
Authors: Suzanne M Jeurnink; Casper H J van Eijck; Ewout W Steyerberg; Ernst J Kuipers; Peter D Siersema Journal: BMC Gastroenterol Date: 2007-06-08 Impact factor: 3.067