©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 26, 2019; 7(20): 3271-3275
Published online Oct 26, 2019. doi: 10.12998/wjcc.v7.i20.3271
Published online Oct 26, 2019. doi: 10.12998/wjcc.v7.i20.3271
Endoluminal closure of an unrecognized penetrating stab wound of the duodenum with endoscopic band ligation: A case report
Dae Hoon Kim, Hanlim Choi, Hyo Yung Yun, Department of Surgery, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju-si 28644, South Korea
Ki Bae Kim, Joung-Ho Han, Department of Internal Medicine, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju-si 28644, South Korea
Author contributions: Kim DH wrote the manuscript; Han JH revised the manuscript; Choi H did the case analysis; Kim KB and Yun HY did the data collection. All authors read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient’s parents for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Joung-Ho Han, MD, Professor, Department of Internal Medicine, Chungbuk National University Hospital, Chungbuk National University College of Medicine, 1 Chungdae-ro, Seowon-gu, Cheongju-si 28644, South Korea. joungho@cbnu.ac.kr
Telephone: +82-43-2696802 Fax: +82-43-2733252
Received: June 28, 2019
Peer-review started: June 29, 2019
First decision: July 31, 2019
Revised: September 18, 2019
Accepted: October 5, 2019
Article in press: October 5, 2019
Published online: October 26, 2019
Processing time: 121 Days and 1 Hours
Peer-review started: June 29, 2019
First decision: July 31, 2019
Revised: September 18, 2019
Accepted: October 5, 2019
Article in press: October 5, 2019
Published online: October 26, 2019
Processing time: 121 Days and 1 Hours
Core Tip
Core tip: Following a penetrating abdominal injury, it is very important for surgeons to find all associated lesions. Insufficient abdominal exploration can result in a missed injury, occasionally leading to the need for reoperation and possibly a fatal outcome. We successfully treated a rare case of perforation and bleeding in the third portion of the duodenum, which was not found by upper-abdominal exploration during the initial surgery. If a missed hollow viscus injury, particularly in the duodenum, remains despite such efforts, an endoscopic approach may be helpful in some cases.