# A Case Report and Literature Review on the Management of Foreign Body-Related Duodenal Perforation: Can We Avoid the Scalpel?

## TL;DR

This paper discusses a successful non-surgical treatment of a rare intestinal emergency using endoscopic techniques.

## Contribution

The novelty lies in demonstrating a successful non-operative management of retroperitoneal duodenal perforation via endoscopy.

## Key findings

- A case of retroperitoneal duodenal perforation was successfully treated using endoscopic methods.
- Non-operative management using endoscopy may be a viable alternative to traditional surgery in select cases.
- The case highlights the potential for endoscopic techniques to reduce surgical intervention in intestinal emergencies.

## Abstract

Gastrointestinal perforation remains one of the most commonly encountered surgical emergencies. Despite the advancement in surgical techniques and treatment modalities, retroperitoneal duodenal perforation remains a lethal surgical emergency. While perforations of the gastrointestinal tract are typically managed with laparotomy for repair and decontamination, the advancement in endoscopic technique and equipment shed a light on non-operative management for intestinal perforation. We present here a case of duodenal perforation successfully treated by endoscopic approach.