The Perforated Duodenal Diverticulum

Thorson, Chad M.

doi:10.1001/archsurg.2011.821

Cited by 86 publications

(198 citation statements)

References 38 publications

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“…Alternatively, there are several literatures describing that conservative therapy utilizing antimicrobial agents, antacids, nil per oral, and parenteral nutrition was effective to cure perforated duodenal diverticulum 5, 6, 10. It should be noted that there has been reports of death, and therefore, surgical treatment in a timely manner is crucial 5, 11, 12. Given these facts, nonsurgical drainage from retroperitoneal abscess could be one of the options to treat with perforated diverticulum.…”

Section: Discussionmentioning

confidence: 99%

Retroperitoneal perforation arising from duodenal diverticulum treated by endoscopic drainage: a case report

Shirobe¹,

Kawakami²,

Abe³

et al. 2017

Clinical Case Reports

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Section: Discussionmentioning

confidence: 99%

Retroperitoneal perforation arising from duodenal diverticulum treated by endoscopic drainage: a case report

Shirobe¹,

Kawakami²,

Abe³

et al. 2017

Clinical Case Reports

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“…Congenital diverticula contain all layers of the duodenal wall and acquired ones represent pulsion diverticula due to protrusion of mucosa, muscularis mucosa and submucosa through a wall weakness along with papillae and explaining why the area within 2.5 cm of the ampulla of Vater is the predilection site for such pathology [1,4].…”

Section: Discussionmentioning

confidence: 99%

Perforated Duodenal Diverticulum

Sattibabu¹,

Dalal²,

Ms³

et al. 2017

JCR

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Background: Duodenum is the second most frequent location for a diverticulum in the digestive tract next to the colon. Duodenal diverticulum occurs in 20% of the general population and is generally asymptomatic. Complications such as perforation are exceedingly rare, with only few cases reported in the literature. Case Report: Here, we present a case of a 70 year old, male patient who was admitted with acute abdomen and intra-operatively diagnosed as perforated duodenal diverticulum. Conclusion: Early diagnosis of perforated duodenal diverticulum is a challenge and clear guidelines for the management of this rare entity is still lacking.

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“…Although, DD is rarely symptomatic and only 5% of patients present with symptoms due to the compression of neighbouring organs, cholestasis (in cases of periampullary diverticulum), haemorrhage, inflammation or perforation [4] . One hundred and sixty-two cases of perforated DD have been reported in the literature [5][6][7][8] . The supposed cause of perforation in 57% of cases is ischaemic processes due to distension related to food retention in the diverticula [9] .…”

Section: Introductionmentioning

confidence: 99%

“…The supposed cause of perforation in 57% of cases is ischaemic processes due to distension related to food retention in the diverticula [9] . Other reported causes are ulcerations, enterocolitihs, blunt abdominal trauma and perforation due to the ERCP procedure [5,[9][10][11][12] . However, diagnosis remains a challenge, with many potential differential diagnoses, including perforated duodenal ulcer.…”

Section: Introductionmentioning

confidence: 99%

“…A surgical approach is usually advocated. However, some groups [5,14,15] have reported using a more conservative approach, and demonstrated that non-operative management is a safe and practical alternative to surgery in selected patients. The aim of this study was to review our 11-year experience with perforated DD at a single centre with a special focus on surgical management.…”

Section: Introductionmentioning

confidence: 99%

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Perforated duodenal diverticulum, a rare complication of a common pathology: A seven-patient case series

Rossetti

Buchs²,

Bucher³

et al. 2013

WJGS

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Duodenal diverticula (DD) are frequently encountered and are usually asymptomatic, with an incidence at autopsy of 22%. Perforation of DD is a rare complication (around 160 cases reported) with potentially dramatic consequences. However, little evidence regarding its treatment is available in the literature. The aim of this study was to review our experience of perforated DD, with a focus on surgical management. Between January 2001 and June 2011, all perforated DD were retrospectively reviewed at a single centre. Seven cases (5 women and 2 men; median age: 72.4 years old, rang: 48-91 years) were found. The median American Society of Anesthesiologists' score in this population was 3 (range: 3-4). The perforation was located in the second portion of duodenum (D2) in six patients and in the third portion (D3) in one patient. Six of these patients were treated surgically: five patients underwent DD resection with direct closure and one was treated by surgical drainage and laparostomy. One patient was treated conservatively. One patient died and one patient presented a leak that was successfully treated conservatively. The median hospital stay was 21.1 d (range: 15-30 d). Perforated DD is an uncommon presentation of a common pathology. Diverticular excision with direct closure seems to offer the best chance of survival and was associated with a low morbidity, even in fragile patients.

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The Perforated Duodenal Diverticulum

Cited by 86 publications

References 38 publications

Retroperitoneal perforation arising from duodenal diverticulum treated by endoscopic drainage: a case report

Retroperitoneal perforation arising from duodenal diverticulum treated by endoscopic drainage: a case report

Perforated Duodenal Diverticulum

Perforated duodenal diverticulum, a rare complication of a common pathology: A seven-patient case series

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