HYBRID ENDOSCOPIC MANAGEMENT OF CHRONIC DUODENAL ULCER PERFORATION
Alexander T. Liu*, Colin G. Delong, Vamsi V. Alli, Eric Pauli
Surgery, Penn State Milton S. Hershey Medical Center, Harrisburg, PA
Duodenal ulcer perforation in a gastric bypass patient is a rare complication that is typically treated with surgical repair. We showcase the management of a heavily scarred chronic duodenal ulcer that had perforated within a walled-off infected hematoma not amenable to surgical repair but endoscopically managed with drainage and distal feeding. Patient is a 64-year-old female with history of gastric bypass, incisional hernia repair, and chronic peptic ulcer disease who presented with a recurrent duodenal ulcer perforation that developed into an infected hematoma effectively managed with endoscopic retrograde placement of a gastrojejunostomy triple lumen sump drain.
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