Transperforational Approach to Stent Closure of Duodenal Perforation

Duodenal perforations are potentially life-threatening emergencies requiring prompt intervention.Various etiologies, including Crohn's disease and iatrogenic injuries, may underlie this condition.We report the case of a 44-year-old woman with long-standing Crohn's disease who developed duodenal perforation following emergency colectomy.After the failure of surgical closure, a novel endoscopic transperforational technique using a fully covered Self-Expanding Metal Stent (SEMS) was successfully applied.This case highlights the versatility of endoscopic methods in complex anatomical scenarios and supports the use of self-expanding stents as a viable alternative in high-risk surgical patients.