**1. Introduction**

Enteroscopy has a procedure-related perforation rate from less than 1% to 6.5% [1–3]. It seems to be higher in therapeutic enteroscopy, especially polypectomy of large polyps, and in patients with altered surgical anatomy. Early recognition is life-saving and surgery performed within 12 hours carries a better prognosis. It was seen in peptic perforations that a delay of more than 24 hours increased mortality seven to eight times, complication rate to three times, and length of hospital stay to two times, compared with a delay of 6 hours or less [4]. Early diagnosis should be the goal followed by prompt surgical correction.
