Management of a Complicated Giant Duodenal perforation-A case report

Perforated duodenal ulcers are frequently encountered surgical emergencies. Most of the perforations are less than 1cm size.Rarely giant perforations are encountered. In comparison with the usual perforations, these large sized perforations pose a great challenge to the treating surgeon because they need a different operative strategy and are associated with a higher morbidity. We report our experience in the management of a case of Giant Duodenal perforation and its complications. This article is presented to emphasize on the various surgical strategies available in the management of such perforations and the vital role of nutritional and nursing care in such patients.