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This case will highlight the intraoperative turmoil, postoperative complications and management of a series of anticipated but unfortunate events that have rendered us wiser in terms of surgical management of a bleeding duodenal ulcer.<\/jats:p>","DOI":"10.1136\/bcr-2021-242294","type":"journal-article","created":{"date-parts":[[2021,4,15]],"date-time":"2021-04-15T13:41:43Z","timestamp":1618494103000},"page":"e242294","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Iatrogenic injury of duodenum: malady of a therapeutic misadventure"],"prefix":"10.1136","volume":"14","author":[{"given":"Swastik","family":"Mishra","sequence":"first","affiliation":[{"name":"Department of General Surgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2449-5514","authenticated-orcid":false,"given":"Pankaj","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of General Surgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prakash Kumar","family":"Sasmal","sequence":"additional","affiliation":[{"name":"Department of General Surgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tushar Subhadarshan","family":"Mishra","sequence":"additional","affiliation":[{"name":"Department of General Surgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,4,15]]},"reference":[{"key":"2025082623323735000_14.4.e242294.1","doi-asserted-by":"crossref","first-page":"137","DOI":"10.4103\/jmh.JMH_86_17","article-title":"Etiological and endoscopic profile of middle aged and elderly patients with upper gastrointestinal bleeding in a tertiary care hospital in North India: a retrospective analysis","volume":"8","author":"Mahajan","year":"2017","journal-title":"J -Life Health"},{"key":"2025082623323735000_14.4.e242294.2","doi-asserted-by":"crossref","first-page":"101610","DOI":"10.1016\/j.bpg.2019.04.003","article-title":"Changing epidemiology and etiology of upper and lower gastrointestinal bleeding","volume":"42-43","author":"Oakland","year":"2019","journal-title":"Best Pract Res Clin Gastroenterol"},{"key":"2025082623323735000_14.4.e242294.3","doi-asserted-by":"crossref","first-page":"68","DOI":"10.4253\/wjge.v11.i2.68","article-title":"Role of endoscopy in acute gastrointestinal bleeding in real clinical practice: an evidence-based review","volume":"11","author":"Jung","year":"2019","journal-title":"World J Gastrointest Endosc"},{"key":"2025082623323735000_14.4.e242294.4","first-page":"38","article-title":"Significance of Forrest classification, Rockall\u2019s and Blatchford\u2019s risk scoring system in prediction of rebleeding in peptic ulcer disease","volume":"46","author":"Hadzibulic","year":"2007","journal-title":"Acta Medica Median"},{"key":"2025082623323735000_14.4.e242294.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2012.02.033"},{"key":"2025082623323735000_14.4.e242294.6","doi-asserted-by":"crossref","first-page":"5","DOI":"10.5847\/wjem.j.1920-8642.2011.01.001","article-title":"Management of upper gastrointestinal bleeding emergencies: evidence-based medicine and practical consideration","volume":"2","author":"Chen","year":"2011","journal-title":"World J Emerg Med"},{"key":"2025082623323735000_14.4.e242294.7","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1393172"},{"key":"2025082623323735000_14.4.e242294.8","doi-asserted-by":"crossref","first-page":"1130","DOI":"10.1016\/j.cgh.2012.06.022","article-title":"The Glasgow Blatchford score is the most accurate assessment of patients with upper gastrointestinal hemorrhage","volume":"10","author":"Laursen","year":"2012","journal-title":"Clinical Gastroenterology and Hepatology"},{"key":"2025082623323735000_14.4.e242294.9","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1177\/2050640616663570","article-title":"The clinical and cost implications of failed endoscopic hemostasis in gastroduodenal ulcer bleeding","volume":"5","author":"Roy","year":"2017","journal-title":"United Eur Gastroenterol J"},{"key":"2025082623323735000_14.4.e242294.10","doi-asserted-by":"crossref","unstructured":"Lee CW , Sarosi GA . 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