Surgical approach for duodenal diverticulum perforation: A case report

Kansoun, Alaa; El-Helou, Etienne; Amiry, Abdel Rahman; Bahmad, Marwan; Mohtar, Iyad Al; Houcheimi, Faisal; Maanieh, Nisreen; Hazim, Mouhamad; Rahal, K; Atwi, Hasan; Ambriss, Walid

doi:10.1016/j.ijscr.2020.09.179

Cited by 7 publications

(6 citation statements)

References 4 publications

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“…For these reasons, ERCP has been heralded as the gold standard in previous reports [6, 12]. However, it appears that the diagnosis of Lemmel syndrome is made only approximately 50% of the time endoscopically, and the diagnosis can and has been made by MRCP and other radiographic modalities alone [5, 8, 13]. The diagnosis can also be made surgically with direct visualization of the periampullary diverticulum, but this is the last option given its invasiveness and non-inferiority to the other alternatives [8, 13].…”

Section: Discussionmentioning

confidence: 99%

“…For patients who exhibit symptoms, there is no standardized approach to treatment, and clinical decisions must be tailored to each patient. As is the case for colonic diverticula, the most definitive treatment option for symptomatic periampullary diverticula is diverticulectomy [13] . However, certain cases do not warrant surgical intervention, and alternative treatment options exist for patients who are poor surgical candidates or decline invasive procedures.…”

Section: Discussionmentioning

confidence: 99%

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Diagnosis and Management of Lemmel Syndrome: An Unusual Presentation and Literature Review

Love

Yellen

Melitas

et al. 2022

Case Rep Gastroenterol

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Lemmel syndrome is a rare clinical entity characterized by the presence of a periampullary duodenal diverticulum resulting in compression and dilatation of the pancreatic and common bile ducts, accompanied by obstructive jaundice. Gastric outlet obstruction is not a known complication of this syndrome, and there are no standardized approaches to its treatment. We present the first case of Lemmel syndrome presenting as gastric outlet obstruction and provide the results of a systematic literature review.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Diagnosis and Management of Lemmel Syndrome: An Unusual Presentation and Literature Review

Love

Yellen

Melitas

et al. 2022

Case Rep Gastroenterol

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“…Laparoscopy is preferable when feasible. For symptomatic patients, diverticulectomy is the most definitive option 9 …”

Section: Figmentioning

confidence: 99%

Surgical management of a Lemmel syndrome

Yakoubi

Mahmoud

Yahya

et al. 2023

ANZ Journal of Surgery

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“…Duodenal diverticulum (DD) is the outpouching of all or partial layers of the duodenal wall. The first case was reported in 1710, and then its radiological image was found in 1913 1 . There are two types of duodenal diverticulum: true and acquired diverticulum.…”

Section: Introductionmentioning

confidence: 99%

Combination of Cattell-Braasch and Kocher maneuver in laparotomy for diverticular resection in the third part of the duodenum: a case report

Handaya

Utomo

Andrew

et al. 2023

Annals of Medicine &Amp; Surgery

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Introduction: A duodenal diverticulum is an outpouching of all or partial layers of the duodenal wall. Duodenal diverticulum complications such as bleeding, diverticulitis, pancreatitis, choledochal occlusion, and perforation can develop. Localization of the diverticulum in the third part of the duodenum is rare. Surgical intervention with a combination of Cattell-Braasch and Kocher maneuvers in laparotomy is currently emerging as a viable option. Case presentation: The authors report a case of a 68-year-old male with chief complaints of black stool and recurring epigastric pain. Barium follow-through showed diverticulum at the third part of the duodenum. Surgery with a combination of Cattell-Braasch and Kocher’s maneuvers using a linear stapler was successful, and there were no intraoperative or postoperative complications. Postoperative barium follow-through showed no diverticulum residue. The patient had no more complaints of black stools nor epigastric pain. Clinical discussion: Symptomatic duodenal diverticulum is a rare case with a very small chance of complications. Due to its lack of specific symptoms, imaging examinations play a better role in diagnosis. Surgical intervention is also rarely performed due to the small chance of complications. Diverticulectomy with the use of Cattell-Braasch and the extended Kocher maneuver results in better duodenum exposure, and the usage of a linear stapler also made the surgery safer and quicker to perform. Conclusion: The authors propose that a diverticulectomy of the third part of the duodenum performed with a combination of the Cattell-Braasch and Kocher maneuvers with the use of a linear stapler as a safe procedure.

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Surgical approach for duodenal diverticulum perforation: A case report

Cited by 7 publications

References 4 publications

Diagnosis and Management of Lemmel Syndrome: An Unusual Presentation and Literature Review

Diagnosis and Management of Lemmel Syndrome: An Unusual Presentation and Literature Review

Surgical management of a Lemmel syndrome

Combination of Cattell-Braasch and Kocher maneuver in laparotomy for diverticular resection in the third part of the duodenum: a case report

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