For the second part: read the file with Text::CSV into a hash keyed on your unique key(s), check whether a value exists for the hash before adding it.  Something like this:
data (doesn't need to be sorted), in this example we need the first two columns to be unique:
1142,X426,Name1,Thing1
1142,X426,Name2,Thing2
1142,X426,Name3,Thing3
1142,X426,Name4,Thing4
1144,X427,Name5,Thing5
1144,X427,Name6,Thing6
1144,X427,Name7,Thing7
1144,X427,Name8,Thing8
code:
use strict;
use warnings;
use Text::CSV;
my %data;
my %dupes;
my @rows;
my $csv = Text::CSV->new ()
                        or die "Cannot use CSV: ".Text::CSV->error_diag ();
open my $fh, "<", "data.csv" or die "data.csv: $!";
while ( my $row = $csv->getline( $fh ) ) {
    # insert row into row list  
    push @rows, $row;
    # join the unique keys with the
    # perl 'multidimensional array emulation' 
    # subscript  character
    my $key = join( $;, @{$row}[0,1] ); 
    # if it was just one field, just use
    # my $key = $row->[$keyfieldindex];
    # if you were checking for full line duplicates (header lines):
    # my $key = join($;, @$row);
    # if %data has an entry for the record, add it to dupes
    if (exists $data{$key}) { # duplicate 
        # if it isn't already duplicated
        # add this row and the original 
        if (not exists $dupes{$key}) {
            push @{$dupes{$key}}, $data{$key};
        }
        # add the duplicate row
        push @{$dupes{$key}}, $row;
    } else {
        $data{ $key } = $row;
    }
}
$csv->eof or $csv->error_diag();
close $fh;
# print out duplicates:
warn "Duplicate Values:\n";
warn "-----------------\n";
foreach my $key (keys %dupes) {
    my @keys = split($;, $key);
    warn "Key: @keys\n";
    foreach my $dupe (@{$dupes{$key}}) {
        warn "\tData: @$dupe\n";
    }
}
Which prints out something like this:
Duplicate Values:
-----------------
Key: 1142 X426
    Data: 1142 X426 Name1 Thing1
    Data: 1142 X426 Name2 Thing2
    Data: 1142 X426 Name3 Thing3
    Data: 1142 X426 Name4 Thing4
Key: 1144 X427
    Data: 1144 X427 Name5 Thing5
    Data: 1144 X427 Name6 Thing6
    Data: 1144 X427 Name7 Thing7
    Data: 1144 X427 Name8 Thing8