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The challenging diagnosis and treatment of duodenal diverticulum perforation: a report of two cases.
- Source :
-
BMC gastroenterology [BMC Gastroenterol] 2020 Jan 08; Vol. 20 (1), pp. 5. Date of Electronic Publication: 2020 Jan 08. - Publication Year :
- 2020
-
Abstract
- Background: The duodenum is a common site for diverticulum formation. Most of the duodenal diverticula are asymptomatic, incidental findings. Perforation is a rare but potentially lethal complication of duodenal diverticular disease. Surgery remains the mainstay of treatment for perforated duodenal diverticula. In recent years, a few cases were successfully managed either conservatively or with endoscopy.<br />Case Presentation: We present two cases of female patients treated in our department for duodenal diverticulum perforation. The first case was treated surgically with a diverticulectomy. The second case was managed conservatively with bowel rest and intravenous antibiotics. Both patients had an uncomplicated postoperative course and were discharged home.<br />Conclusions: Both surgical and conservative treatments are viable options for a perforated duodenal diverticulum in selected patients. Patients with a contained duodenal diverticular perforation can be managed conservatively at the outset. Possibly, the introduction of a classification system for duodenal diverticulum perforation may help clinicians in making essential therapeutic decisions.
- Subjects :
- Anti-Bacterial Agents therapeutic use
Conservative Treatment methods
Diagnosis, Differential
Digestive System Surgical Procedures methods
Diverticulum complications
Diverticulum therapy
Duodenal Diseases etiology
Duodenal Diseases therapy
Female
Humans
Intestinal Perforation etiology
Intestinal Perforation therapy
Middle Aged
Treatment Outcome
Diverticulum diagnosis
Duodenal Diseases diagnosis
Duodenum surgery
Intestinal Perforation diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 1471-230X
- Volume :
- 20
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- BMC gastroenterology
- Publication Type :
- Academic Journal
- Accession number :
- 31914931
- Full Text :
- https://doi.org/10.1186/s12876-019-1154-2