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Case Reports
. 2014 Sep 30:2014:bcr2014205859.
doi: 10.1136/bcr-2014-205859.

Perforated duodenal diverticulae: importance for the surgeon and gastroenterologist

Danya Haboubi  1 , Ankur Thapar  2 , Chetan Bhan  2 , Ayo Oshowo  2
Affiliations
Case Reports

Perforated duodenal diverticulae: importance for the surgeon and gastroenterologist

Danya Haboubi et al. BMJ Case Rep. .

Abstract

We present the case of a 78-year-old woman who was admitted for an elective left hemicolectomy for diverticular disease. Two days following the elective procedure, bilious fluid was noted in her pelvic drain. The patient returned to theatre, where a perforated duodenal diverticulum was excised and the defect primarily repaired. The patient then developed a low output enterocutaneous fistula which was treated conservatively with nasojejunal feeding and resolved spontaneously.

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Figures

Figure 1
Figure 1
CT axial image demonstrating periportal free gas.
Figure 2
Figure 2
Intraoperative image of the duodenal perforation at the time of laparotomy.
See this image and copyright information in PMC

References

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