Surgical Management of Duodenal Perforation in a Patient With Gardner Syndrome and Abdominal Wall Reconstruction

Kelsey Murray, Jean Luc Francois, Saamia Shaikh, Ahmad Hlayhel, Toghrul Talishinskiy


Duodenal perforation is a rare complication of esophagogastroduodenoscopy (EGD) and may be caused by direct injury from the endoscope during the procedure. This complication has a relatively high mortality rate but can be reliably managed with surgical repair. We present the case of a young man with Gardner syndrome who obtained a duodenal perforation during a surveillance EGD with endoscopic mucosal resection (EMR). Our patient was deemed a poor surgical candidate due to previous excision of a large abdominal wall desmoid tumor with cadaveric graft reconstruction that in turn created limited access for any subsequent abdominal surgeries. As such, he underwent multiple failed endoscopic repairs before definitive surgical management with a Graham patch repair using a unique entry approach. This case highlights the treatment course of this rare patient.

J Curr Surg. 2021;11(3):61-64


Duodenal perforation; Gardner syndrome; Abdominal wall reconstruction

Full Text: HTML PDF

Browse  Journals  


Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics

World Journal of Oncology

Gastroenterology Research

Journal of Hematology

Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity

Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research

Journal of Neurology Research

International Journal of Clinical Pediatrics






Journal of Current Surgery, quarterly, ISSN 1927-1298 (print), 1927-1301 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)

This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website:   editorial contact:
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.