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Case Reports
. 2021 Apr 15;14(4):e242294.
doi: 10.1136/bcr-2021-242294.

Iatrogenic injury of duodenum: malady of a therapeutic misadventure

Swastik Mishra  1 , Pankaj Kumar  2 , Prakash Kumar Sasmal  1 , Tushar Subhadarshan Mishra  1
Affiliations
Case Reports

Iatrogenic injury of duodenum: malady of a therapeutic misadventure

Swastik Mishra et al. BMJ Case Rep. .

Abstract

Endoscopic procedures are the front-runner of the management of bleeding duodenal ulcer. Rarely, surgical intervention is sought for acute bleeding, not amenable to endoscopic procedures. Oversewing of the gastroduodenal artery at ulcer crater by transduodenal approach is the most acceptable and recommended method of treatment. We describe a case of an intraoperative duodenal injury that occurred during an attempt to oversew the gastroduodenal artery after a duodenotomy, leading to an unsatisfactory and meagre duodenal stump. This case will highlight the intraoperative turmoil, postoperative complications and management of a series of anticipated but unfortunate events that have rendered us wiser in terms of surgical management of a bleeding duodenal ulcer.

Keywords: adult intensive care; gastrointestinal surgery; general surgery; stomach and duodenum; ulcer.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Bleeding duodenal ulcer.
See this image and copyright information in PMC

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References

    1. Mahajan P, Chandail VS. Etiological and endoscopic profile of middle aged and elderly patients with upper gastrointestinal bleeding in a tertiary care hospital in North India: a retrospective analysis. J -Life Health 2017;8:137–41. - PMC - PubMed
    1. Oakland K. Changing epidemiology and etiology of upper and lower gastrointestinal bleeding. Best Pract Res Clin Gastroenterol 2019;42-43:101610. 10.1016/j.bpg.2019.04.003 - DOI - PubMed
    1. Jung K, Moon W. Role of endoscopy in acute gastrointestinal bleeding in real clinical practice: an evidence-based review. World J Gastrointest Endosc 2019;11:68–83. 10.4253/wjge.v11.i2.68 - DOI - PMC - PubMed
    1. Hadzibulic E, Govedarica S. Significance of Forrest classification, Rockall’s and Blatchford’s risk scoring system in prediction of rebleeding in peptic ulcer disease. Acta Medica Median 2007;46:38–43.
    1. Hwang JH, Fisher DA, Ben-Menachem T, et al. . The role of endoscopy in the management of acute non-variceal upper Gi bleeding. Gastrointest Endosc 2012;75:1132–8. 10.1016/j.gie.2012.02.033 - DOI - PubMed

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