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[Perforated juxta-papillary duodenal diverticula: two cases]
Abdelhakim Atmani1, Fouzi Lachachi, Maxime Sodji
1Service de Chirurgie Viscérale et Transplantations, Centre Hospitalier Universitaire Dupuytren, 2, avenue Martin-Luther-King, 87042 Limoges Cedex, France.
Abstract:
Perforation of juxta-ampullary duodenal diverticula, occurring spontaneously or after abdominal trauma, is a severe condition. Diagnosis is difficult to establish and is based on tomodensitometry, which is the most reliable diagnostic tool. Treatment consists in diverticulectomy that can be associated with drainage of the duodenum or anastomosis between digestive and biliary tract. We report two cases of perforated juxta-ampullary duodenal diverticula. Perforation was spontaneous in one case and complicated a blunt abdominal trauma in the other case.