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Perforated duodenal diverticulum: a rare complication in a common condition
Cláudio Branco1, Teresa Carneiro1, Dina Luis1
1Hospital de Braga, Braga, Portugal.
BMJ Case Reports
|June 26, 2017
Summary
This case study highlights a rare instance of a perforated duodenal diverticulum in an elderly woman. Surgical intervention led to a successful outcome with no complications.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Duodenal diverticula are uncommon, and perforation is a rare complication.
- Perforated duodenal diverticulum presents with non-specific symptoms, often mimicking other acute abdominal conditions.
Observation:
- An 80-year-old woman presented with epigastric pain and vomiting.
- CT imaging revealed duodenal wall thickening, retroperitoneal fat stranding, and free fluid, suggesting perforation.
- Laparotomy confirmed a perforated diverticulum in the second portion of the duodenum.
Findings:
- Surgical management involved diverticulectomy with single-layer closure.
- The procedure was performed without intraoperative or postoperative complications.
Implications:
- This case underscores the importance of considering rare diagnoses like perforated duodenal diverticulum in elderly patients with acute abdomen.
- Successful surgical management, even in elderly patients, can lead to favorable outcomes.
- Highlights the diagnostic utility of CT scans in identifying duodenal perforations.
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