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. 2006;8(5):393–399. doi: 10.1080/13651820600700617

Table III. Surgical management of the duodenal perforation group.

Patient no./age/sex Time to diagnosis/surgery Presentation Radiological findings Surgical findings and management Length of stay (days)
1/52/M 5 days/5 days Localized peritonitis, fever, leukocytosis on day 1 Retro-peritoneal fluids on CT on day 2. Extravasation of oral contrast at duodenum on 2nd CT on day 5. Lateral duodenal perforation secondary to stent migration, which was oversewn with omental patch. G-tube and feeding J-tube. Postoperative intra-abdominal abscess requiring percutaneous drainage 31
2/77/F Intra-ERCP/2 h Mild abdominal pain Not done Perforation at 2nd part of duodenum, which was oversewn with omental patch. Palliative chole-jejunostomy, gastro-jejunostomy, Roux-en-Y for unresectable pancreatic cancer. Drainage of retroperitoneum 8
3/82/F Intra-ERCP/6 h Intubated for hemodynamic instability, massive subcutaneous emphysema on neck and chest Not done 1.5 cm duodenal wall perforation. Duodenostomy tube, drainage of retroperitoneum 2, death from septic shock, multi-organ failure