Multidisciplinary management of postoperative duodenal perforation using multiple drainage and stenting: A case report and review of literature

Figure 5 Targeted puncture drainage under interventional radiology guidance at two major sites of fluid collections adjacent to the stomach and within the abdominal cavity. Beyond the direct manifestations of duodenal perforation, notably hemorrhage and infection, the patient’s recovery was complicated by a series of challenges secondary to extensive surgical interventions and the critical nature of his overall condition. The patient presented with extensive deep venous thrombosis, coagulopathy, urinary system dysfunction, malnutrition, and the need for rehabilitation and physical therapy. Under multidisciplinary management, a significant milestone was achieved by 10 weeks following the third operation: All tubes were successfully removed, and the patient resumed oral intake without significant symptoms.