Delayed duodenal stump blow-out following total gastrectomy for cancer: Heightened awareness for the continued presence of the surgical past in the present is the key to a successful duodenal stump disruption management. A case report

Highlights • Duodenal stump disruption is not a surgical anachronism, because it still remains one of the most dreadful postgastrectomy complications. • Postgastrectomy duodenal stump disruption poses an overwhelming therapeutic challenge. • Historical surgical sense and familiarity with the various well established methods for the treatment of duodenal stump disruption can provide to the surgical team the ability to successfully manage this devastating complication.