Novel deployment of a covered duodenal stent in open surgery to facilitate 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.


METHODS
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.


CONCLUSIONS
We describe a novel technique using a covered duodenal stent deployed at open surgery to aid closure of a malignant duodenal perforation.
Lung
Philip F
PF
Department of Hepatobiliary Surgery, King's College Hospital, London, UK. philip.lung@kch.nhs.uk
Cresswell
Adrian B
AB
Psaila
Josephine
J
Patel
Ameet G
AG
D000230:Adenocarcinoma / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D002763:Cholecystectomy; D003110:Colonic Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D003113:Colonoscopy; D004379:Duodenal Neoplasms / Q000556:secondary; D004380:Duodenal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D017809:Fatal Outcome; D005706:Gallbladder Neoplasms / Q000556:secondary; D006801:Humans; D007902:Length of Stay; D008297:Male; D010166:Palliative Care / Q000379:methods*; D011183:Postoperative Complications / Q000628:therapy; D011859:Radiography; D015607:Stents