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Published on: December 20, 2024
Iatrogenic injury of duodenum: malady of a therapeutic misadventure
Swastik Mishra1, Pankaj Kumar2, Prakash Kumar Sasmal1
1Department of General Surgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
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.
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