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. CASE PRESENTATION 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. CONCLUSION We describe a novel technique using a covered duodenal stent deployed at open surgery to aid closure of a malignant duodenal perforation.