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Perforated Duodenal Diverticulum Treated Conservatively: Another Two Successful Cases
Jad A Degheili1, Mohammed H Abdallah1, Ali A Haydar2
1Division of General Surgery, Department of Surgery, American University of Beirut Medical Center, Riad El-Solh, Beirut 1107 2020, Lebanon.
Case Reports in Surgery
|May 31, 2017
Summary
Duodenal diverticula, though often asymptomatic, can lead to severe complications like perforation. This study highlights conservative management for perforated duodenal diverticula, offering a less invasive treatment option.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
Background:
- Duodenal diverticula are common, with autopsy incidence ranging from 15-23%.
- Over 90% of duodenal diverticula are asymptomatic, but complications can be severe.
Observation:
- Presents two cases of duodenal diverticula with perforation and retroperitoneal fistulization.
- Both cases were successfully treated conservatively using Taylor's approach for upper gastrointestinal tract perforation.
Findings:
- Conservative management, including intensive observation and medical treatment, can be effective for complicated duodenal diverticula.
- Taylor's approach offers a viable alternative to surgery in select cases of perforated duodenal diverticula.
Implications:
- This approach may reduce surgical morbidity for perforated duodenal diverticula.
- Highlights the importance of advanced imaging and intensive observation in managing these rare but serious complications.
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