Perforated Duodenal Diverticulitis: A Report of Three Cases

Vol. 22, No. 3, 2005

Free Abstract Article (Fulltext) Article (PDF 223 KB)

Case Report

Perforated Duodenal Diverticulitis: A Report of Three Cases
George Miller^a, Claudia Mueller^a, Duke Yim^a, Michael Macari^b, Howard Liang^a, Stuart Marcus^a, Peter Shamamian^a

Departments of
^aSurgery and
^bRadiology, New York University School of Medicine, New York, N.Y., USA

Dig Surg 2005;22:198-202 (DOI: 10.1159/000087974)

Key Words

Duodenal diverticuli
Perforation
Pyloric exclusion

Abstract

Background: Duodenal diverticuli are present in up to 22% of the population. However, perforation of a duodenal diverticulum with spillage of enteric contents into the retroperitoneum is rare. Methods: We report three cases of perforated duodenal diverticulitis. Results: Clinical presentations varied widely from patients with acute abdominal findings and generalized sepsis to a patient with mild symptoms of abdominal discomfort. CT scanning was the imaging modality used to make an accurate diagnosis. Treatment approaches for the most stable patient included nonoperative management with antibiotics, bowel rest and parenteral alimentation, while the less stable patients underwent definitive surgery with complete diversion of gastric contents and biliary flow from the affected area of duodenum. Conclusions: This report highlights the salient issues in the presentation, diagnosis and modern management of patients with this potentially catastrophic disease.

Medline Abstract (ID 16137998)

Download Citation

Cited In

This journal is part of the third subject package of the Karger

Journal Archive Collection

Information on packages (PDF)
Free sample issues

For non-native English speakers and international authors who would like assistance with their writing before submission, we suggest American Journal Experts for their scientific editing service.