A Rare Cause Of Acute Abdomen: Perforation Of Duodenal Diverticulum Containing Ectopic Pancreatic Tissue

Successful Conservative Treatment of Spontaneous Perforated Duodenal Diverticulum: A Case Report

“…6 Duodenal diverticular perforation, first observed by Bassett in 1907 during an autopsy, is rare but highly fatal, associated with high mortality. 3,7 The most common cause of duodenal diverticular perforation is diverticulitis, followed by enterolithiasis, iatrogenic, trauma, and foreign bodies. 7 Because of its vague and unspecific clinical presentation, early diagnosis of perforated duodenal diverticula is difficult without imaging.…”

“…Of these, duodenal diverticular perforation is the most severe complication, with a mortality of up to 30%, and may be caused by diverticulitis, ulcerations, and diagnostic procedures such as endoscopy. 3 Though surgery is the main treatment option, conservative treatment could be considered, depending on the patient's clinical status. Here, we describe a case of perforated duodenal diverticulum treated successfully with antibiotics and percutaneous drainage of retroperitoneal abscesses.…”