{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T10:50:41Z","timestamp":1782384641862,"version":"3.54.5"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>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\u2009\u00d7\u20097\u00a0mm 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.<\/jats:p>","DOI":"10.1093\/jscr\/rjag373","type":"journal-article","created":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T11:42:32Z","timestamp":1781782952000},"source":"Crossref","is-referenced-by-count":0,"title":["Novel use of endoscopic pigtail drainage in recurrent gastric perforation following intentional drug overdose: a case report"],"prefix":"10.1093","volume":"2026","author":[{"given":"Milad","family":"Dodangeh","sequence":"first","affiliation":[{"name":"Department of General Surgery, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences , Tehran ,","place":["Iran"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamidreza","family":"Kanani","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences , Tehran ,","place":["Iran"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohsen","family":"Soori","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences , Tehran ,","place":["Iran"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,22]]},"reference":[{"key":"2026062506224461400_ref1","doi-asserted-by":"publisher","first-page":"e61","DOI":"10.1016\/j.surge.2021.04.006","article-title":"Primary closure versus Graham patch omentopexy in perforated peptic ulcer: a systematic review and meta-analysis","volume":"20","author":"Demetriou","year":"2022","journal-title":"Surgeon"},{"key":"2026062506224461400_ref2","doi-asserted-by":"publisher","first-page":"450","DOI":"10.1001\/jamasurg.2024.6724","article-title":"Management of perforated peptic ulcer","volume":"160","author":"Arshad","year":"2025","journal-title":"JAMA Surg"},{"key":"2026062506224461400_ref3","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2020.573901","article-title":"An overview of gastroduodenal perforation","volume":"7","author":"Weledji","year":"2020","journal-title":"Front Surg"},{"key":"2026062506224461400_ref4","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1186\/s13017-015-0008-7","article-title":"A practical scoring system to predict mortality in patients with perforated peptic ulcer","volume":"10","author":"Menekse","year":"2015","journal-title":"World J Emerg Surg"},{"key":"2026062506224461400_ref5","doi-asserted-by":"publisher","first-page":"e1","DOI":"10.1097\/TA.0000000000003799","article-title":"A systematic review and meta-analysis comparing postoperative outcomes of laparoscopic versus open omental patch repair of perforated peptic ulcer","volume":"94","author":"Chan","year":"2023","journal-title":"J Trauma Acute Care Surg"},{"key":"2026062506224461400_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.gassur.2025.101993","article-title":"Perforated peptic ulcer: to close or patch\u2014a century-old controversy","volume":"29","author":"Mahmoud","year":"2025","journal-title":"J Gastrointest Surg"},{"key":"2026062506224461400_ref7","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1186\/s13017-025-00599-2","article-title":"Alternative treatments to treat perforated peptic ulcer: a systematic review and network meta-analysis of randomized controlled trials","volume":"20","author":"Gavriilidis","year":"2025","journal-title":"World J Emerg Surg"},{"key":"2026062506224461400_ref8","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2020\/8250904","article-title":"Endoscopic double-pigtail catheter (EDPC) internal drainage as first-line treatment of gastric leak: a case series during laparoscopic sleeve gastrectomy learning curve for morbid obesity","volume":"2020","author":"Lazzarin","year":"2020","journal-title":"Minim Invasive Surg"},{"key":"2026062506224461400_ref9","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.76446","article-title":"Multidisciplinary management of complex trauma and burn injuries: a case series of challenging clinical scenarios","volume":"16","author":"Alameddine","year":"2024","journal-title":"Cureus"},{"key":"2026062506224461400_ref10","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1111\/den.12191","article-title":"Endoscopic clip closure of gastrointestinal perforations, fistulae, and leaks","volume":"26","author":"Raju","year":"2014","journal-title":"Dig Endosc"},{"key":"2026062506224461400_ref11","doi-asserted-by":"crossref","first-page":"e01516","DOI":"10.14309\/crj.0000000000001516","article-title":"Successful endoscopic drainage of acute duodenal diverticulitis complicated by abscess","volume":"11","author":"Liane","year":"2024","journal-title":"ACG Case Rep J"},{"key":"2026062506224461400_ref12","doi-asserted-by":"publisher","first-page":"162","DOI":"10.21614\/sgo-663","article-title":"Novel technique for the placement of omental patch during repair of perforated duodenal ulcer. A retrospective study of prospectively collected data","volume":"29","author":"Al-Asadi","year":"2024","journal-title":"Surg Gastroenterol Oncol"},{"key":"2026062506224461400_ref13","doi-asserted-by":"publisher","first-page":"693","DOI":"10.5946\/ce.2023.043","article-title":"Endoscopic treatment of upper gastrointestinal postsurgical leaks: a narrative review","volume":"56","author":"Medas","year":"2023","journal-title":"Clin Endosc"},{"key":"2026062506224461400_ref14","doi-asserted-by":"publisher","first-page":"4839","DOI":"10.1007\/s00464-024-11133-x","article-title":"Endoscopic repair of duodenal perforations, a scoping review","volume":"38","author":"Williams","year":"2024","journal-title":"Surg Endosc"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/6\/rjag373\/68610168\/rjag373.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/6\/rjag373\/68610168\/rjag373.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T10:23:48Z","timestamp":1782383028000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag373\/8713333"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,31]]},"references-count":14,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,5,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag373","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,6]]},"published":{"date-parts":[[2026,5,31]]},"article-number":"rjag373"}}