Diagnosis and treatment of a perforated duodenal diverticulum

Huang, Raymond Y.; Romano, Andrea; Stone, Melvin E.; Nathanson, Noel

doi:10.1007/s10140-006-0561-1

Cited by 14 publications

(3 citation statements)

References 6 publications

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“…Since diverticula of third portion are usually located in the retroperitoneal space, the onset of symptoms is often insidious and diagnosis is often delayed [18]. Even if several cases are described in which a conservative management with antibiotics and percutaneous drainage is preferred [19,20], this treatment should be taken only after a careful consideration. In literature, several types of treatments are described, both surgical or conservative, according to the patient’s condition and the localization of the duodenal diverticulum: segmental duodenectomies, pylorus-preserving pancreaticoduodenectomy (p-p Whipple), diverticulectomies [11].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic rendez-vous after damage control surgery in treatment of retroperitoneal abscess from perforated duodenal diverticulum: a techinal note and literature review

et al. 2013

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IntroductionThe duodenum is the second seat of onset of diverticula after the colon. Duodenal diverticulosis is usually asymptomatic, but duodenal perforation with abscess may occur.Case presentationWoman, 83 years old, emergency hospitalised for generalized abdominal pain. On the abdominal tomography in the third portion of the duodenum a herniation and a concomitant full-thickness breach of the visceral wall was detected. The patient underwent emergency surgery. A surgical toilette of abscess was performed passing through the perforated diverticula and the Petzer’s tube drainage was placed in the duodenal lumen; the duodenostomic Petzer was endoscopically removed 4 months after the surgery.DiscussionA review of medical literature was performed and our treatment has never been described.ConclusionFor the treatment of perforated duodenal diverticula a sequential two-stage non resective approach is safe and feasible in selected cases.

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Section: Discussionmentioning

confidence: 99%

Endoscopic rendez-vous after damage control surgery in treatment of retroperitoneal abscess from perforated duodenal diverticulum: a techinal note and literature review

et al. 2013

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“…The mortality rate from perforated duodenal diverticulum in recent reports is around 8%. 1 Patients in clinically unstable condition with peritonitis require operative treatment 6 , 7 , 8 ; however, patients in clinically stable condition sometimes also receive operative management. 3 , 9 , 10 Several case reports have shown successful nonoperative treatment of patients' condition by use of bowel rest, intravenous antibiotics, and, in some cases, percutaneous drainage.…”

Section: Discussionmentioning

confidence: 99%

Successful management of perforated duodenal diverticulum by use of endoscopic drainage

Fan

Talbot

2017

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“…Problematisch ist die unspezifische klinische Symptomatik, sodass häufig erst die Computertomografie bzw. der intraoperative Situs Klarheit über die Dramatik der vorliegenden Erkrankung erbringen [15]. Verschiedene Operationsverfahren, wie z.…”

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Blutendes Duodenaldivertikel – eine therapeutische Herausforderung

Gottschalk¹,

Becker²,

Stöhr³

et al. 2010

Z Gastroenterol

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We report the case of an 81-year-old women with a duodenal diverticular bleeding in the second portion of the duodenum. Various therapies are used to halt haemorrhaging in this tissue, including surgical or endoscopic intervention and transarterial embolisation. The lesion was identified and treated endoscopically with hypertonic saline solution and epinephrine. Because of a fistula and a continual bleeding we use a hemoclip two days later. The bleeding was completely controlled. However, a small mucosal defect was noted at the site where the hemoclip was applied, and an operation was necessary. Finally we discuss the therapy optoins based on a review of the literature.

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Diagnosis and treatment of a perforated duodenal diverticulum

Abstract: Perforation is an exceptionally rare complication of duodenal diverticula and often presents with nonspecific symptoms and signs. We present a case of a perforated duodenal diverticulum diagnosed on computed tomography and successfully repaired with a diverticulectomy.

Cited by 14 publications

References 6 publications

Endoscopic rendez-vous after damage control surgery in treatment of retroperitoneal abscess from perforated duodenal diverticulum: a techinal note and literature review

Endoscopic rendez-vous after damage control surgery in treatment of retroperitoneal abscess from perforated duodenal diverticulum: a techinal note and literature review

Successful management of perforated duodenal diverticulum by use of endoscopic drainage

Blutendes Duodenaldivertikel – eine therapeutische Herausforderung

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