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We report the case of a patient with decompensated cirrhosis who developed a duodenal ulcer perforation following an upper endoscopy for variceal screening. Due to poor surgical candidacy, he was managed conservatively through antibiotics, percutaneous drains, and endoscopic placement of a fully covered self\u2010expandable metal stent (fcSEMS). With no established guidelines on managing duodenal perforations in cirrhotic patients, this case demonstrates a successful outcome with a nonoperative approach that can be considered when definitive surgical intervention is not feasible.<\/jats:p>","DOI":"10.1155\/crgm\/1608984","type":"journal-article","created":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T15:46:35Z","timestamp":1766418395000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Fully Covered Self\u2010Expandable Metal Stent Placement for Management of a Perforated Duodenal Ulcer With Persistent Leak in a Decompensated 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