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Traumatic perforated duodenal diverticulum after a fight, a case report
Giulia Staccini1, Anna Maria Senatore2, Virginia Sitta1
1Ospedale Regionale di Lugano, Via Tesserete 46, Lugano 6900, Ticino, Switzerland.
International Journal of Surgery Case Reports
|June 14, 2024
Summary
Perforated duodenal diverticulum (PDD) from trauma is rare and often missed preoperatively. Diagnosis and management typically involve surgical exploration, with open surgery being the preferred approach for traumatic PDD.
Area of Science:
- Gastroenterology
- Trauma Surgery
- Surgical Case Reports
Background:
- Perforated duodenal diverticulum (PDD) is an exceedingly rare condition, with fewer than 200 cases reported.
- Trauma-induced PDD is exceptionally uncommon, accounting for a small percentage of duodenal injuries.
Observation:
- A 36-year-old male presented with severe upper abdominal pain post-blunt abdominal trauma.
- CT scan indicated duodenal perforation, but the diverticular origin was only confirmed during exploratory laparotomy.
Findings:
- Literature review reveals limited cases of traumatic PDD, with diagnosis often occurring intraoperatively.
- Open surgical exploration is the most frequently described approach for managing traumatic PDD.
Implications:
- Traumatic PDD is often overlooked in acute abdominal pain differential diagnoses post-trauma.
- Early recognition and surgical intervention are crucial for managing this rare but serious condition.
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