Duodenojejunostomy and stapled occlusion for distal duodenal perforation from malignant retroperitoneal tumors

Three patients with unresectable malignant retroperitoneal tumors that invaded and perforated the distal duodenum presented with sepsis unresponsive to antibiotics. A technique of proximal side-to-side duodenojejunostomy with stapled occlusion of the distal duodenum resulted in successful diversion and immediate resolution of sepsis.