Diverticulitis of the Duodenum with Perforation

Mackay, Albert G.; Page, HerbertW.

doi:10.1097/00000658-195512000-00025

Cited by 10 publications

(3 citation statements)

References 9 publications

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“…The standard operative treatment option is diverticulectomy [16,25]. If locally advanced inflammation permits, the treatment of choice is diverticulectomy with repairs to the defect involving two layers of sutures [19,26]. Interestingly, although diverticulectomy is considered the procedure of choice, it carries a high risk of duodenal fistula formation, which is associated with a mortality rate of up to 30% [17].…”

Section: Discussionmentioning

confidence: 99%

Duodenal diverticulum perforation mimicking acute cholecystitis- case reports and literature review

Łącka¹,

Hać²

2022

Eur J Trans Clin Med

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Background: Duodenal diverticula affect a large part of the population. It is a congenital abnormality that develops over time. The incidence of duodenal diverticulum is estimated at 22% of the population in autopsies. Only 5% of patients present symptoms and of those only 1-2% require surgery. Material and methods: We describe two patients who underwent surgery due to duodenal diverticulum perforation mimicking acute cholecystitis. Results: Perforation of the duodenal diverticulum, combined the difficulty of treatment and potential for complications, is a disease with a high mortality rate. It is a subtle and difficult diagnosis due to the unspecific symptoms and a lack of generalized peritonitis. The rarity and the wide spectrum of the disease, in combination with additional factors to be considered, mean there is no standard treatment. Depending on the patient�s general condition, disease advancement, age and pathological findings observable only during surgery, we can choose between conservative treatment and a wide spectrum of surgical methods. Conclusions: Duodenal diverticular disease rarely gives any symptoms. However, even after the onset of symptoms, only 1-2% of patients require surgery. Our work is unique because we present two cases, each treated via different approach, conservative and surgical.

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Section: Discussionmentioning

confidence: 99%

Duodenal diverticulum perforation mimicking acute cholecystitis- case reports and literature review

Łącka¹,

Hać²

2022

Eur J Trans Clin Med

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“…Perforation of a duodenal diverticulum is a rare entity. Mackay and Page (1955), reviewed the English literature and found 8 previously reported cases, whose clinical features they summarized. They added a further case of their own.…”

Section: Discussionmentioning

confidence: 99%

Perforation of a Duodenal Diverticulum and Subsequent Obstruction of Afferent and Efferent Loops of a Gastro‐Enterostomy

Lees¹

1966

Int J Clinical Practice

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“…Diverticulitis of the duodenum with perforation (16) may simulate high intestinal obstruction, peptic ulcer, or acute disease of the biliary tract or pancreas. If, on exploration no pathologic condition is noted, the perforation may still be found if particular care is taken in examining the retroperitoneal tissues around the duodenum and pancreas for evidence of free air, bile staining, and edema.…”

Section: Inflammatory Processesmentioning

confidence: 99%