Simple Closure of a Perfoated Duodenal Diverticulum: "A Case Report"

Shigeki Yokomuro; Eiji Uchida; Yasuo Arima; Yoshiaki Mizuguchi; Tetsuya Shimizu; Yutaka Kawahigashi; Masao Kawamoto; Ken Takahashi; Masao Arai; Yasuo Arima; Takashi Tajiri

doi:10.1272/jnms.71.337

Report on Experiments and Clinical Cases

Simple Closure of a Perfoated Duodenal Diverticulum: "A Case Report"

Shigeki Yokomuro, Eiji Uchida, Yasuo Arima, Yoshiaki Mizuguchi, Tetsuya Shimizu, Yutaka Kawahigashi, Masao Kawamoto, Ken Takahashi, Masao Arai, Yasuo Arima, Takashi Tajiri

Author information

Shigeki Yokomuro
Surgery for Organ Function and Biological Regulation Nippon Medical School, Graduate School of Medicine
Eiji Uchida
Surgery for Organ Function and Biological Regulation Nippon Medical School, Graduate School of Medicine
Yasuo Arima
Surgery for Organ Function and Biological Regulation Nippon Medical School, Graduate School of Medicine
Yoshiaki Mizuguchi
Surgery for Organ Function and Biological Regulation Nippon Medical School, Graduate School of Medicine
Tetsuya Shimizu
Surgery for Organ Function and Biological Regulation Nippon Medical School, Graduate School of Medicine
Yutaka Kawahigashi
Surgery for Organ Function and Biological Regulation Nippon Medical School, Graduate School of Medicine
Masao Kawamoto
Surgery for Organ Function and Biological Regulation Nippon Medical School, Graduate School of Medicine
Ken Takahashi
Surgery for Organ Function and Biological Regulation Nippon Medical School, Graduate School of Medicine
Masao Arai
Surgery for Organ Function and Biological Regulation Nippon Medical School, Graduate School of Medicine
Yasuo Arima
Surgery for Organ Function and Biological Regulation Nippon Medical School, Graduate School of Medicine
Takashi Tajiri
Surgery for Organ Function and Biological Regulation Nippon Medical School, Graduate School of Medicine

Keywords: duodenal diverticulum, perforation

JOURNAL FREE ACCESS

2004 Volume 71 Issue 5 Pages 337-339

DOI https://doi.org/10.1272/jnms.71.337

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Abstract

Spontaneous perforation of a duodenal diverticulum is a rare but serious complication with significant mortality rates. Just over 100 cases have been reported in the world literature. One case of perforated duodenal diverticulum treated by simple closure is reported. An elderly female was admitted to our hospital with an acute abdomen. Computed tomography of the abdomen showed retroperitoneal air around the duodenum and right kidney. Laparotomy with a Kocher maneuver disclosed a perforated diverticulm in the second portion of the duodenum. Although diverticulectomy is the most common treatment, simple closure of the perforated duodenal diverticulum with drainage was performed to avoid injury to the distal common bile duct and ampulla of Vater, which were close to the diverticulum. The patient has fully recovered and has been asymptomatic with no signs of recurrence for 25 months.

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