Two cases of perforated duodenal diverticulum successfully treated using conservative therapy

Area of Science:

• Gastroenterology
• Surgical Gastroenterology

Background:

• Perforated duodenal diverticulum is a rare but serious condition.
• Prompt diagnosis and appropriate management are crucial for patient outcomes.

Observation:

• Two cases of perforated duodenal diverticulum presented with abdominal pain, fever, and pneumoretroperitoneum on CT scans.
• One patient also had a fluid collection, indicating localized peritonitis.

Findings:

• Both patients, despite their age (72 and 90 years), were successfully treated with conservative management.
• Conservative therapy involved parenteral nutrition and intravenous antibiotics, leading to recovery within 14 days.

Implications:

• Conservative management can be effective for early-stage perforated duodenal diverticulum in hemodynamically stable patients without signs of sepsis.
• Close monitoring and readiness for surgical intervention are essential if the condition worsens.