An unusual case of duodenal perforation caused by a blister pack: A case report and literature review
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Unnoticed ingestion of blister packs cause gastrointestinal perforation.

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Preoperative diagnosis of foreign body ingestion is often difficult.

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Duodenal perforation caused by blister packs is extremely rare.

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Perforation in the third portion of duodenum can lead to retroperitoneal abscess.

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Despite prompt management, duodenal perforation may be potentially fatal.

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