Traumatic Rupture of a Duodenal Diverticulum: Case Report and Review of the Literature

Majerus, B; Mathonet, Perrine; Haxhe, JP

doi:10.1080/00015458.2015.11681118

Cited by 4 publications

(8 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The rupture following blunt trauma is usually related to motor vehicle accidents or accidental fall [ 15 , 16 ], less frequent during sport [ 17 ]. A literature review reveals 14 cases, including the present, of traumatic perforation of duodenal diverticula [ 13 , 16 , [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] , [26] , [27] , [28] ] ( Table 1 ). All cases of traumatic perforation of duodenal diverticulum, reported in literature, were located in the second part of the duodenum [ 16 , 28 ].…”

Section: Discussionmentioning

confidence: 99%

“…A literature review reveals 14 cases, including the present, of traumatic perforation of duodenal diverticula [ 13 , 16 , [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] , [26] , [27] , [28] ] ( Table 1 ). All cases of traumatic perforation of duodenal diverticulum, reported in literature, were located in the second part of the duodenum [ 16 , 28 ]. The present case is the first report of traumatic perforated diverticulum of the fourth duodenal portion.…”

Section: Discussionmentioning

confidence: 99%

“…In our case, the compression of the diverticulum against lumbar vertebra during deceleration has caused a sudden increased in intraluminal pressure, which resulted in the outbreak of the diverticulum. Duodenal traumas are often associated to other abdominal organ injuries, but exceptionally traumatic perforation of duodenal diverticulum is always isolated [ 16 , 30 ]. Only in the case reported by Angus et al, the perforation of duodenal diverticulum is associated with other organ injury as renal fracture and splenic laceration [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

“…Blood samples are also unspecific. A history of abdominal blunt trauma can bring a suspicion of perforation [ 16 ]. Symptoms usually arise early in traumatic perforation, but they can be delayed until several days after the trauma.…”

Section: Discussionmentioning

confidence: 99%

“…Due to the infrequence of perforated duodenal diverticulum, surgical treatment guidelines are lacking. The most common procedures includes diverticulectomy with transverse duodenal closure, manually or mechanically in single or double layer [ 12 , 16 , 33 ]. We performed a diverticulectomy with linear cutting stapler on a duodenal wall, raising an optimal result, as there was no inflammation and edema on the surrounding tissue.…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Traumatic perforated diverticulum of the fourth duodenal portion: First case report and literature review

Palumbo

Miceli

Mattone

et al. 2020

Annals of Medicine and Surgery

View full text Add to dashboard Cite

Introduction Duodenal rupture following blunt abdominal trauma is rare, and traumatic rupture of duodenal diverticula is exceptional. However, duodenum is the second most frequent location of intestinal diverticula following colon. Duodenal diverticula are common but only in few cases they are symptomatic due to the onset of complications such as inflammation, hemorrhage, or perforation. Perforation, although rare, especially post-trauma, is the most serious life threatening complication. Case presentation We report the case of a patient who, 24 hours after a blunt trauma secondary to a car accident, complained symptoms related to the perforation of a diverticulum of the fourth portion of the duodenum. A computed tomography was performed and extraluminal fluid-air collection was identified. During emergent laparotomy, a fourth portion perforated duodenal diverticulum was diagnosed, and resected. The recovery was uneventful. Discussion Diagnosis of perforated duodenal diverticulum represents a challenge in diagnosis and few guidelines exist about the management of this rare occurrence, especially in a traumatic setting. The present case is the first report of traumatic perforated diverticulum of the fourth duodenal portion. Conclusion Surgery still remain the most common approach in the treatment of this pathology, including diverticulectomy and primary repair.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Traumatic perforated diverticulum of the fourth duodenal portion: First case report and literature review

Palumbo

Miceli

Mattone

et al. 2020

Annals of Medicine and Surgery

View full text Add to dashboard Cite

show abstract

A systematic review of the perforated duodenal diverticula: lessons learned from the last decade

Kapp

Müller

Gertsch

et al. 2021

Langenbecks Arch Surg

View full text Add to dashboard Cite

Background The perforated duodenal diverticulum remains a rare clinical entity, the optimal management of which has not been well established. Historically, primary surgery has been the preferred treatment modality. This was called into question during the last decade, with the successful application of non-operative therapy in selected patients. The aim of this systematic review is to identify cases of perforated duodenal diverticula published over the past decade and to assess any subsequent evolution in treatment. Methods A systematic review of English and non-English articles reporting on perforated duodenal diverticula using MEDLINE (2008–2020) was performed. Only cases of perforated duodenal diverticula in adults (> 18 years) that reported on diagnosis and treatment were included. Results Some 328 studies were identified, of which 31 articles met the inclusion criteria. These studies included a total of 47 patients with perforated duodenal diverticula. This series suggests a trend towards conservative management with 34% (16/47) of patients managed non-operatively. In 31% (5/16) patients initially managed conservatively, a step-up approach to surgical intervention was required. Conclusion Conservative treatment of perforated duodenal diverticula appears to be an acceptable and safe treatment strategy in stable patients without signs of peritonitis under careful observation. For patients who fail to respond to conservative treatment, a step-up approach to percutaneous drainage or surgery can be applied. If surgery is required, competence in techniques ranging from simple diverticulectomy to Roux-en-Y gastric diversion or even Whipple’s procedure may be required depending on tissue friability and diverticular collar size.

show abstract

Duodenal Diverticulum Perforation: A Rare Case Report and Review of the Literature

Yıldız,

İlgun

2024

Batı Karadeniz Tıp Dergisi

View full text Add to dashboard Cite

Aim: Duodenal diverticulum is the second most common diverticulum section in the gastrointestinal system, but perforation is rare. It is frequently diagnosed incidentally and has little clinical evidence. There are no certain treatment strategies for duodenal diverticulum perforation. Our aim is to identify perforated duodenal diverticulum cases published in the last 10 years through our case report and to evaluate different approaches to treatment. Case Report: A 58-year-old male was diagnosed central nervous system (CNS) tumor with a perforated duodenal diverticulum. Our case presented with abdominal pain and pneumoperitoneum on imaging. The patient was treated surgically with an omental patch, pyloric exclusion, retrocolic gastrojejunostomy, and tube duodenostomy. The patient died on the 10th postoperative day. Conclusion: Duodenal diverticulum perforation is a rare but fatal condition. CT is useful in diagnosis. If the patient is not in a septic condition, it can be followed conservatively. However, if the patient is in a septic condition, surgery may be required. Surgical options should be determined based on the perforation site and characteristics.

show abstract

Traumatic Rupture of a Duodenal Diverticulum: Case Report and Review of the Literature

Cited by 4 publications

References 0 publications

Traumatic perforated diverticulum of the fourth duodenal portion: First case report and literature review

Traumatic perforated diverticulum of the fourth duodenal portion: First case report and literature review

A systematic review of the perforated duodenal diverticula: lessons learned from the last decade

Duodenal Diverticulum Perforation: A Rare Case Report and Review of the Literature

Contact Info

Product

Resources

About