Abstract
A 71-year-old woman was referred to our hospital following a traumatic right upper abdominal injury caused by a blow from a gate ball stick. She complained of right upper abdominal pain. An abdominal CT scan showed free air in the retroperitoneal space. An emergency laparotomy revealed a perforation about 2cm in diameter in the second portion of the duodenum, and simple closure and tube duodenostomy, were performed with abdominal drainage. The postoperative course was uneventful without serious complications and the patient was discharged on the 24th day after the operation. Traumatic duodenal perforation as a result of a right upper abdominal sports injury is uncommon.