Endoscopic Stenting Only for a Duodenal Perforation: An Alternative to Conventional Surgical Repair

Abstract

ABSTRACT Perforation of the duodenum is a rare, life-threatening complication of balloon dilation of duodenal strictures, which is managed surgically. Our case is of duodenal perforation as a complication of endoscopic balloon dilation for duodenal stricture. The perforation and stenosis were successfully managed by placement of an 18 mm × 12.3 cm WallFlex fully covered stent secured by clips to prevent migration. A follow-up endoscopy with stent removal revealed no perforation and resolution of the duodenal stricture. Our case emphasizes endoscopic stenting as an alternative to conventional surgical repair for iatrogenic duodenal perforations secondary to recurring duodenal strictures.