Tải xuống
Tóm tắt
Background: Duodenal diverticulum is a relatively common finding that can be incidentally found in upper gastrointestinal endoscopy in up to 20% of cases. Most duodenal diverticula are asymptomatic, and perforation of a duodenal diverticulum is extremely rare.
Case report: We present a case of spontaneous rupture of a duodenal diverticulum in a 41-year-old female diagnosed with perforated duodenal diverticulum intraoperatively. Resection of the perforated diverticulum was performed, and closure was done interruptedly in two layers. The patient recovered uneventfully.
Conclusion: Duodenal diverticulum perforation is a rare condition in which accurate preoperative diagnosis and treatment are challenging. Operative treatment with diverticulectomy and one or two-layer closure is the treatment of choice in most cases.
Tài liệu tham khảo
Blanc B, Valleur P. Chirurgie des diverticules du duodénum. Techniques chirurgicales - Appareil digestif. 2010:40–410.
Farné GM, Lauro A, Vaccari S, Marino IR, Khouzam S, D’Andrea V, et al. Spontaneous Perforated Duodenal Diverticulum: Wait or Cut First? Dig Dis Sci. 2021;66(9):2876-80.
Shimada A, Fujita K, Kitago M, Ichisaka S, Ishikawa K, Kikunaga H, et al. Perforated duodenal diverticulum successfully treated with a combination of surgical drainage and endoscopic nasobiliary and nasopancreatic drainage: a case report. Surg Case Rep. 2020;6(1):4-9.
Psathakis D, Utschakowski A, Müller G, Broll R, Bruch HP. Clinical significance of duodenal diverticula. J Am Coll Surg. 1994;178(3):257-60.
Thorson C, Ruiz PP, Roeder R, Sleeman D, Casillas V. The Perforated Duodenal Diverticulum. Arch Surg. 2012;147(1):81-8.
Duarte B, Nagy K, Cintron J. Perforated duodenal diverticulum. British Journal of Surgery. 1992;79:877-81.
Volchok J, Massimi T, Wilkins S, Curletti E. Duodenal diverticulum: case report of a perforated extraluminal diverticulum containing ectopic pancreatic tissue. Arch Surg. 2009;144(2):188-90.
Yeh TC. Laparoscopic resection of perforated duodenal diverticulum - A case report and literature review. Int J Surg Case Rep. 2016;28:204-10.
Schnueriger B, Vorburger SA, Banz VM, Schoepfer AM, Candinas D. Diagnosis and management of the symptomatic duodenal diverticulum: a case series and a short review of the literature. J Gastrointest Surg. 2008;12(9):1571-6.
Martínez-Cecilia D, Arjona-Sánchez A, Gómez-Álvarez M, Torres-Tordera E, Luque-Molina A, Valentí-Azcárate V, et al. Conservative management of perforated duodenal diverticulum: A case report and review of the literature. World J Gastroenterol. 2008;14(12):1949-51.
| Đã xuất bản | 28-12-2024 | |
| Toàn văn |
|
|
| Ngôn ngữ |
|
|
| Số tạp chí | Số 95 (2024) | |
| Phân mục | Báo cáo trường hợp | |
| DOI | 10.38103/jcmhch.95.6 | |
| Từ khóa | Perforation, surgical management, duodenal diverticulum |
công trình này được cấp phép theo Creative Commons Attribution-phi thương mại-NoDerivatives 4.0 License International .
Bản quyền (c) 2024 Tạp chí Y học lâm sàng Bệnh viện Trung Ương Huế