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Case Reports in Surgery
Volume 2013, Article ID 503151, 4 pages
http://dx.doi.org/10.1155/2013/503151
Case Report

Laparoscopic Repair of a Large Duodenal Perforation Secondary to an Indwelling Nasogastric Tube in a Tracheotomized Adult

Department of General, Laparoscopic and Gastrointestinal Surgery, MOSC Medical College Kolenchery, Cochin 682311, India

Received 7 January 2013; Accepted 30 January 2013

Academic Editors: P. De Nardi, T. Hotta, and S.-i. Kosugi

Copyright © 2013 Sanoop Koshy Zachariah. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Laparoscopic repair of perforated duodenal ulcers is safe and effective in centers with experience and increasingly performed by laparoscopic surgeons. However, the role of laparoscopy for the management of large duodenal perforations (>1 cm) is unclear. To date, no experience has been reported with emergency laparoscopic repair of large perforations for gastroduodenal ulcers. The commonest reason for conversion to open surgery is a perforation size of more than 1 cm. This paper reports a case of a large duodenal perforation due to a nasogastric tube in a 26-year-old male who had undergone a tracheostomy, following a cut-throat injury. This large perforation was successfully diagnosed and repaired laparoscopically. This is probably the first paper in the English literature to report duodenal perforation due to a nasogastric tube in an adult and also the first report of a successful laparoscopic repair of a large duodenal perforation.