Due to the advances in endoscopic technology, surgery for duodenal ulcer (DU) bleeding has decreased, although surgery is still necessary for more complicated cases. The concept of damage control surgery (DCS) has been established in the field of trauma, and a simple surgical approach may be preferable in serious cases such as uncontrolled DU bleeding. We present a successful case of bleeding with massive hematoma and perforation of the duodenum due to an over-the-scope clip that was treated by a less invasive surgical approach with consideration of the DCS.
Keywords: damage control laparotomy; damage control resuscitation; duodenal hematoma; duodenal ulcer disease; emergency abdominal surgery; over-the-scope clips; peptic ulcer bleed; perforated duodenal ulcer.
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