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Review
. 2008 Mar 28;14(12):1949-51.
doi: 10.3748/wjg.14.1949.

Conservative management of perforated duodenal diverticulum: a case report and review of the literature

David Martinez-Cecilia  1 , Alvaro Arjona-Sanchez, Manuel Gomez-Alvarez, Eva Torres-Tordera, Antonio Luque-Molina, Victor Valenti-Azcarate, Javier Briceno-Delgado, Francisco-Javier Padillo, Pedro Lopez-Cillero, Sebastian Rufian-Pena
Affiliations
Review

Conservative management of perforated duodenal diverticulum: a case report and review of the literature

David Martinez-Cecilia et al. World J Gastroenterol. .

Abstract

Duodenal diverticula are a relatively common condition. They are asymptomatic, unless they become complicated, with perforation being the rarest but most severe complication. Surgical treatment is the most frequently performed approach. We report the case of a patient with a perforated duodenal diverticulum, which was diagnosed early and treated conservatively with antibiotics and percutaneous drainage of secondary retroperitoneal abscesses. We suggest this method could be an acceptable option for the management of similar cases, provided that the patient is in good general condition and without septic signs.

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Figures

Figure 1
Figure 1
Abdominal CT showing perihepatic free liquid, pneumoperitoneum and retropneumoperitoneum next to the cava vein.
Figure 2
Figure 2
Gastrografin swallow examination revealing a duodenal diverticulum in the second portion without leakage of contrast.
See this image and copyright information in PMC

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