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Retroperitoneal perforation arising from duodenal diverticulum treated by endoscopic drainage: a case report

Takashi Shirobe1, Hideyuki Kawakami1, Sadanori Abe1

  • 1Department of Surgery Narita-Tomisato Tokushukai Hospital Tomisato Chiba Japan.

Clinical Case Reports
|May 5, 2017
PubMed

Insights

Retroperitoneal perforation of duodenal diverticula can cause abscesses. Endoscopic drainage offers a successful treatment option, complementing traditional surgery for this rare condition.

Area of Science:

  • Gastroenterology
  • Surgical Innovation

Background:

  • Retroperitoneal perforation of duodenal diverticula, particularly near the papilla of Vater, is an uncommon clinical presentation.
  • Duodenal diverticula, especially periampullary ones, pose a risk of perforation leading to serious complications.

Observation:

  • A case of retroperitoneal abscess resulting from duodenal diverticulum perforation is presented.
  • The abscess was successfully managed using endoscopic drainage techniques.

Findings:

  • Endoscopic drainage proved effective in treating the retroperitoneal abscess.
  • This minimally invasive approach offers a viable alternative to surgical intervention.

Implications:

  • Endoscopic management should be considered for retroperitoneal perforations caused by duodenal diverticula.
  • This approach may reduce patient morbidity associated with surgical procedures for this rare condition.
Keywords:
Duodenal diverticulumduodenal perforationendoscopic drainageretroperitoneal abscessretroperitoneal perforation

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