Highlights1–5% of patients with duodenal diverticula become symptomatic (Oukachbi, 2013) [2].The least common but most serious complication is perforation.Duodenal diverticula perforation can be the result of the peptic digestion, ulceration, enterocoliths, blunt abdominal trauma, or iatrogenic perforation during an ERCP (Schnueriger et al., 2008; Duarte and Cintron, 1992) [5,6].The most sensitive exam to detect a duodenal diverticulum perforation is an abdominal CT scan (Song, 2015) [4].A duodenal diverticulum perforation usually necessitates operative treatment with a diverticulectomy and two-layer closer of the duodenum, Kocher maneuver, and drainage of the retroperitoneum.

Introduction: Hernias anterior to the sternum have rarely been reported and usually occur in the context of abdominal trauma. The literature reports hernia as a complication of omental flap reconstruction, but as yet there is little information on the laparoscopic repair of large subxiphoid hernia resulting from omental flap reconstruction.

Rates of leak detection, reoperation, and death in patients with GP or DP repaired with omental patch utilizing an UGI study were not statistically significant. An increased length of stay was observed within the UGI group. There was no advantage demonstrated between a selective versus routine UGI; therefore, the use of selective UGI should be based upon clinical indications.

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