Total duodenal necrosis with retroperitoneal perforation in an adolescent with jejunal intussusceptions

Non-occlusive distal duodenal and proximal jejunal necrosis – a case report

“…Isolated necrosis of the duodenum or jejunum is very rare and has been described only as a complication of acute, necrotizing pancreatitis or eventration in children [1,2,3]. A case of necrosis of the whole duodenum, complicated by retroperitoneal perforation, was reported in an adult patient suffering from intussusception of the jejunum [4]. However, none of these cases was similar to the one presented in this study.…”

“…Intraoperatively, an enormously distended and necrotic distal part of the duodenum and proximal part of the jejunum were found. As in one of the previously mentioned cases, the only possible operative option was Whipple's pancreato-duodenectomy, which was successfully performed and the patient eventually recovered [3,4].…”

“…Isolated necrosis of the duodenum is a very rare condition, which has been described mostly as a complication of acute necrotizing pancreatitis, eventration, or jejunal instussusception in children [1,2,3,4]. The article presents a case of isolated, non-occlusive necrosis of the distal duodenum and proximal part of the jejunum in an elderly patient, burdened with chronic obstructive lung disease, but without concomitant vascular or gastrointestinal disease.…”