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A case of retroperitoneal abscess secondary to duodenal perforation
The development of a retroperitoneal abscess in the setting of duodenal perforation is a rare occurrence. There are various causes of duodenal perforation such as trauma, iatrogenic injury and, most commonly, peptic ulcer disease [1]. Urgent surgical intervention is required when a patient presents...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10288178/ https://www.ncbi.nlm.nih.gov/pubmed/37360744 http://dx.doi.org/10.1093/jscr/rjad368 |
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author | Umbu, Landry Harrison, Hailey Thomas, David Contreras, Megan Darku, Kwesi |
author_facet | Umbu, Landry Harrison, Hailey Thomas, David Contreras, Megan Darku, Kwesi |
author_sort | Umbu, Landry |
collection | PubMed |
description | The development of a retroperitoneal abscess in the setting of duodenal perforation is a rare occurrence. There are various causes of duodenal perforation such as trauma, iatrogenic injury and, most commonly, peptic ulcer disease [1]. Urgent surgical intervention is required when a patient presents with a perforated duodenal ulcer and signs of peritonitis. Generally, closure is performed with an omental pedicle or Graham patch [2]. In cases of large perforations, surgical resection, gastric partition with diverting gastrojejunostomy or T-drain placement may be required [2]. In this case, we present a patient with duodenal ulcer perforation complicated by retroperitoneal abscess formation. Treatment involved interventional radiological (IR) drainage of the abscess, followed by laparotomy for persistence of fluid. The surgery comprised of a right-side hemicolectomy, Braun jejunojejunostomy, pyloric exclusion, intraoperative retroperitoneal abscess drainage and Graham patch repair of retroperitoneal duodenal perforation. |
format | Online Article Text |
id | pubmed-10288178 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-102881782023-06-24 A case of retroperitoneal abscess secondary to duodenal perforation Umbu, Landry Harrison, Hailey Thomas, David Contreras, Megan Darku, Kwesi J Surg Case Rep Case Report The development of a retroperitoneal abscess in the setting of duodenal perforation is a rare occurrence. There are various causes of duodenal perforation such as trauma, iatrogenic injury and, most commonly, peptic ulcer disease [1]. Urgent surgical intervention is required when a patient presents with a perforated duodenal ulcer and signs of peritonitis. Generally, closure is performed with an omental pedicle or Graham patch [2]. In cases of large perforations, surgical resection, gastric partition with diverting gastrojejunostomy or T-drain placement may be required [2]. In this case, we present a patient with duodenal ulcer perforation complicated by retroperitoneal abscess formation. Treatment involved interventional radiological (IR) drainage of the abscess, followed by laparotomy for persistence of fluid. The surgery comprised of a right-side hemicolectomy, Braun jejunojejunostomy, pyloric exclusion, intraoperative retroperitoneal abscess drainage and Graham patch repair of retroperitoneal duodenal perforation. Oxford University Press 2023-06-22 /pmc/articles/PMC10288178/ /pubmed/37360744 http://dx.doi.org/10.1093/jscr/rjad368 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Umbu, Landry Harrison, Hailey Thomas, David Contreras, Megan Darku, Kwesi A case of retroperitoneal abscess secondary to duodenal perforation |
title | A case of retroperitoneal abscess secondary to duodenal perforation |
title_full | A case of retroperitoneal abscess secondary to duodenal perforation |
title_fullStr | A case of retroperitoneal abscess secondary to duodenal perforation |
title_full_unstemmed | A case of retroperitoneal abscess secondary to duodenal perforation |
title_short | A case of retroperitoneal abscess secondary to duodenal perforation |
title_sort | case of retroperitoneal abscess secondary to duodenal perforation |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10288178/ https://www.ncbi.nlm.nih.gov/pubmed/37360744 http://dx.doi.org/10.1093/jscr/rjad368 |
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