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Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
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Published on: January 9, 2026

[Case report of a "benign" iatrogen duodenal diverticular perforation]

Hicham El-Meouch1, Imre Nagy, Laura Simsay

  • 1Jávorszky Ödön Kórház, Sebészeti Osztály, 2600 Vác Argenti Döme tér 1-3. elmeouch@freemail.hu

Magyar Sebeszet
|April 21, 2011
PubMed

Insights

A large duodenal diverticulum caused acute abdomen in an elderly female patient. Emergency surgical resection led to an uneventful recovery, highlighting prompt intervention for this rare gastrointestinal complication.

Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology
  • Internal Medicine

Background:

  • A 78-year-old female presented for pacemaker evaluation, revealing anemia and melena.
  • Upper gastrointestinal endoscopy identified a large duodenal diverticulum as a potential cause.

Observation:

  • The patient developed signs of acute abdomen, indicating a serious complication.
  • Further examinations confirmed perforation of the duodenal diverticulum.

Findings:

  • Emergency surgical resection of the perforated duodenal diverticulum was successfully performed.
  • The patient experienced an uncomplicated recovery post-surgery.

Implications:

  • This case underscores the importance of considering gastrointestinal pathology in elderly patients with unexplained anemia.
  • Prompt surgical management is crucial for perforated duodenal diverticula to ensure favorable outcomes.

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