| Summary points: | A 38-year-old Vietnamese male is admitted with a 10-month history of epigastric pain, fatigue, 10 kg weight loss, and recent-onset jaundice. Physical examination, computed tomography of the abdomen, diagnostic laparoscopy, and surgery are described. The authors discuss a carcinoma of the colon and describe a novel technique using a covered duodenal stent deployed at open surgery to aid closure of a malignant duodenal perforation. |