# Damage Control Surgery for Duodenal Ulcer Bleeding With Massive Hematoma and Perforation Due to Over-the-Scope Clip (OTSC)

## TL;DR

This paper presents a successful case of a complex duodenal ulcer treated with a less invasive surgical approach inspired by damage control surgery.

## Contribution

The paper introduces the application of damage control surgery principles to a rare and severe case of duodenal ulcer bleeding.

## Key findings

- A less invasive surgical approach successfully treated a duodenal ulcer with massive hematoma and perforation.
- Damage control surgery principles were effectively applied in this complex gastrointestinal case.
- The use of an over-the-scope clip contributed to the complication requiring surgical intervention.

## Abstract

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.