Duodenal diverticulum perforated by foreign body

Rizzo, Julián Favre; Fernández, Eudaldo López-Tomassetti; Esparragón, José Ceballos; Cabrera, Luciano Santana; Hernández, Juan Ramón Hernández

doi:10.4321/s1130-01082013000600013

Cited by 10 publications

(9 citation statements)

References 6 publications

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“…As most perforations are retroperitoneal, 10 symptoms are usually nonspecific including right upper abdominal pain associated with nauseas and vomiting, 6 and rarely include peritoneal irritation 3 . Blood samples are also unspecific and elevated pancreatic tests might be present due to the inflammation in the vicinity of the diverticulum 1 .…”

Section: Discussionmentioning

confidence: 99%

Perforated duodenal diverticulum: Surgical treatment and literature review

Simões

Santos

Magalhães

et al. 2014

International Journal of Surgery Case Reports

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INTRODUCTIONDuodenum is the second most frequent location for a diverticulum in the digestive tract. Complications are rare and perforation was only reported in less than 200 cases.PRESENTATION OF CASEA 79-year-old female was admitted to Emergency Department with abdominal pain and vomiting for the last 24 h. A CT scan was performed and moderated extra-luminal air was identified. During surgery a fourth portion perforated duodenal diverticulum was diagnosed and duodenal resection was performed.DISCUSSIONFirst reported in 1710, the incidence of duodenal diverticula can be as high as 22%. Nevertheless complications are extremely rare and include haemorrhage, inflammation, compression of surrounding organs, neoplastic progression, cholestasis and perforation.As perforations are often retroperitoneal, symptoms are nonspecific and rarely include peritoneal irritation, making clinical diagnose a challenge.CT scan will usually present extra-luminal retroperitoneal air and mesenteric fat stranding, providing clues for the diagnosis.Although non-operative treatment has been reported in selected patients, standard treatment is surgery and alternatives are diverse including diverticulectomy or duodenopancreatectomy.CONCLUSIONPerforated diverticula of the fourth portion of the duodenum are extremely rare and current evidence still supports surgery as the primary treatment modality.

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Section: Discussionmentioning

confidence: 99%

Perforated duodenal diverticulum: Surgical treatment and literature review

Simões

Santos

Magalhães

et al. 2014

International Journal of Surgery Case Reports

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“…6 Haemorrhage, inflammation, compression of surrounding organs, neoplastic progression, cholestasis and perforation are also reported in the literature, with perforation being least frequent, but also associated with the highest morbidity and mortality. [7][8][9] An UGI endoscopy, endoscopic retrograde cholangiopancreatography, CECT and MRI abdomen done for various abdominal symptoms could reveal diverticula at various sites. 2,3 There is surgical consensus that intervention is required only for symptomatic duodenal diverticula, which constitute only 1-5 per cent of total cases.…”

Section: Discussionmentioning

confidence: 99%

Duodenal diverticulitis masquerading as acute cholecystitis: A lesson learnt

et al. 2019

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Acute cholecystitis is one of the common surgical emergencies encountered in daily practice. Clinical examination coupled with an ultrasound scan of the abdomen will usually confirm the diagnosis. The rare presence and inflammation of a duodenal diverticula can mimic acute cholecystitis and lead to a diagnostic dilemma that can result in a surgical catastrophe. We present a case of a 62‐year‐old lady with a provisional diagnosis of acute cholecystitis, which turned out to be duodenal diverticulitis, who did not respond to conservative management and was successfully managed surgically.

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“…Diverticulitis is the most common cause of perforation representing 62%, followed by enterolithiasis (~10%) [12]. Ulceration, iatrogenic causes [16], trauma [17], or even foreign bodies [14] are all rarer causes of perforation.…”

Section: Discussionmentioning

confidence: 99%

Perforated Duodenal Diverticulum Treated Conservatively: Another Two Successful Cases

Degheili

Abdallah

Haydar

et al. 2017

Case Reports in Surgery

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Diverticula of the duodenum proceed those of the colon in respect to frequency of location. Incidence at times of autopsy ranges from 15 to 23%. Despite the fact that more than 90% of duodenal diverticulum cases are asymptomatic, complications if they do occur can be calamitous. Perforation is one of these rare complications. Surgical intervention has always been the mainstay for symptomatic/complicated duodenal diverticula, but with the advancement of imaging, medical treatment, and proper intensive observation, conservative treatment came forth. We hereby present two cases of duodenal diverticula, complicated by perforation and fistulization into the retroperitoneal cavity, both treated conservatively by Taylor's approach of upper gastrointestinal tract perforation. Review of other cases of duodenal diverticulum perforation has also been presented.

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Duodenal diverticulum perforated by foreign body

Cited by 10 publications

References 6 publications

Perforated duodenal diverticulum: Surgical treatment and literature review

Perforated duodenal diverticulum: Surgical treatment and literature review

Duodenal diverticulitis masquerading as acute cholecystitis: A lesson learnt

Perforated Duodenal Diverticulum Treated Conservatively: Another Two Successful Cases

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