ArticleJournal of surgical case reports2026
Novel use of endoscopic pigtail drainage in recurrent gastric perforation following intentional drug overdose: a case report.
Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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3 authors.
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Abstract
Peptic ulcer perforation (PUP) is a life-threatening surgical emergency. Persistent perforation after conventional repair is rare, and minimally invasive salvage techniques are infrequently reported. We present a case where endoscopic pigtail catheter drainage offered a novel solution for a persistent leak. A 33-year-old man with substance use history developed generalized peritonitis after an intentional drug overdose. Emergency laparotomy revealed a 7 × 7 mm prepyloric perforation, repaired with a Graham patch. Premature oral intake led to a larger persistent perforation 5 days later, requiring repeat surgical repair. Persistent leakage continued for nearly a month and was successfully managed using an endoscopically placed pigtail catheter without a stent. The patient recovered completely, as confirmed at a 6-week follow-up. Endoscopic pigtail catheter placement is a minimally invasive, organ-preserving salvage therapy for persistent PUP after failed surgical repair. Further studies are needed to establish standardized protocols.
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