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Surgical approach for duodenal diverticulum perforation: A case report

INTRODUCTION: Duodenal Diverticula is not uncommon and it is mostly found in the 2nd part of the duodenum. Despite the fact that it is mostly found incidentally, it can complicate however it rarely complicates by perforation. Treatment is indicated only in complicated cases and it is divided into co...

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Autores principales: Kansoun, Alaa, El-Helou, Etienne, Amiry, Abdel Rahman, Bahmad, Marwan, Mohtar, Iyad Al, Houcheimi, Faisal, Maanieh, Nisreen, Hazim, Mouhamad, Rahal, Khaled, Atwi, Hasan, Ambriss, Walid
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7559533/
https://www.ncbi.nlm.nih.gov/pubmed/33049647
http://dx.doi.org/10.1016/j.ijscr.2020.09.179
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author Kansoun, Alaa
El-Helou, Etienne
Amiry, Abdel Rahman
Bahmad, Marwan
Mohtar, Iyad Al
Houcheimi, Faisal
Maanieh, Nisreen
Hazim, Mouhamad
Rahal, Khaled
Atwi, Hasan
Ambriss, Walid
author_facet Kansoun, Alaa
El-Helou, Etienne
Amiry, Abdel Rahman
Bahmad, Marwan
Mohtar, Iyad Al
Houcheimi, Faisal
Maanieh, Nisreen
Hazim, Mouhamad
Rahal, Khaled
Atwi, Hasan
Ambriss, Walid
author_sort Kansoun, Alaa
collection PubMed
description INTRODUCTION: Duodenal Diverticula is not uncommon and it is mostly found in the 2nd part of the duodenum. Despite the fact that it is mostly found incidentally, it can complicate however it rarely complicates by perforation. Treatment is indicated only in complicated cases and it is divided into conservative and surgical arms. PRESENTATION OF CASE: It is a case of 78 years old Lebanese female that was diagnosed intra-operatively with a perforated duodenal diverticulum after presenting with post prandial abdominal pain, distention and pneumoperitoneum on imaging. Our case was consistent with previous reports where the diverticulum occurred in the second part of the duodenum. We opted for primary resection of the diverticulum and over-sewing. Moreover, patient had an uneventful post-operative course and progressed gradually to be discharged on day 10. CONCLUSION: Our case aims to draw attention to a rare complication of duodenal diverticula and to widen the differential diagnosis of pneumoperitoneum thus concluding about the better treatment option. Previous reports show that proper management is still a controversial topic; however surgical approach is indicated in case of systemic signs.
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spelling pubmed-75595332020-10-20 Surgical approach for duodenal diverticulum perforation: A case report Kansoun, Alaa El-Helou, Etienne Amiry, Abdel Rahman Bahmad, Marwan Mohtar, Iyad Al Houcheimi, Faisal Maanieh, Nisreen Hazim, Mouhamad Rahal, Khaled Atwi, Hasan Ambriss, Walid Int J Surg Case Rep Case Report INTRODUCTION: Duodenal Diverticula is not uncommon and it is mostly found in the 2nd part of the duodenum. Despite the fact that it is mostly found incidentally, it can complicate however it rarely complicates by perforation. Treatment is indicated only in complicated cases and it is divided into conservative and surgical arms. PRESENTATION OF CASE: It is a case of 78 years old Lebanese female that was diagnosed intra-operatively with a perforated duodenal diverticulum after presenting with post prandial abdominal pain, distention and pneumoperitoneum on imaging. Our case was consistent with previous reports where the diverticulum occurred in the second part of the duodenum. We opted for primary resection of the diverticulum and over-sewing. Moreover, patient had an uneventful post-operative course and progressed gradually to be discharged on day 10. CONCLUSION: Our case aims to draw attention to a rare complication of duodenal diverticula and to widen the differential diagnosis of pneumoperitoneum thus concluding about the better treatment option. Previous reports show that proper management is still a controversial topic; however surgical approach is indicated in case of systemic signs. Elsevier 2020-10-03 /pmc/articles/PMC7559533/ /pubmed/33049647 http://dx.doi.org/10.1016/j.ijscr.2020.09.179 Text en © 2020 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Kansoun, Alaa
El-Helou, Etienne
Amiry, Abdel Rahman
Bahmad, Marwan
Mohtar, Iyad Al
Houcheimi, Faisal
Maanieh, Nisreen
Hazim, Mouhamad
Rahal, Khaled
Atwi, Hasan
Ambriss, Walid
Surgical approach for duodenal diverticulum perforation: A case report
title Surgical approach for duodenal diverticulum perforation: A case report
title_full Surgical approach for duodenal diverticulum perforation: A case report
title_fullStr Surgical approach for duodenal diverticulum perforation: A case report
title_full_unstemmed Surgical approach for duodenal diverticulum perforation: A case report
title_short Surgical approach for duodenal diverticulum perforation: A case report
title_sort surgical approach for duodenal diverticulum perforation: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7559533/
https://www.ncbi.nlm.nih.gov/pubmed/33049647
http://dx.doi.org/10.1016/j.ijscr.2020.09.179
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