Copyright
©2008 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Mar 28, 2008; 14(12): 1949-1951
Published online Mar 28, 2008. doi: 10.3748/wjg.14.1949
Published online Mar 28, 2008. doi: 10.3748/wjg.14.1949
Conservative management of perforated duodenal diverticulum: A case report and review of the literature
David Martínez-Cecilia, Pedro López-Cillero, Alvaro Arjona Sánchez, Manuel Gómez Álvarez, Eva Torres Tordera, Antonio Luque Molina, Javier Briceño Delgado, Francisco Javier Padillo, Sebastián Rufián Peña, Hospital Universitario Reina Sofia, Av. Menendez Pidal, sn. 14005. Córdoba , Spain.
Victor Valentí Azcárate, Clínica Universitaria de Navarra, Avenida de Pio XII 36, Pamplona 31008, Spain.
Correspondence to: David Martínez-Cecilia, Av. Almogávares, N 15, 1 A. Córdoba 14007, Spain. david.martinez.cecilia@aecirujanos.es
Telephone: +34-67-6021968
Received: July 19, 2007
Revised: January 10, 2008
Published online: March 28, 2008
Revised: January 10, 2008
Published online: March 28, 2008
Abstract
Duodenal diverticula are a relatively common condition. They are asymptomatic, unless they become complicated, with perforation being the rarest but most severe complication. Surgical treatment is the most frequently performed approach. We report the case of a patient with a perforated duodenal diverticulum, which was diagnosed early and treated conservatively with antibiotics and percutaneous drainage of secondary retroperitoneal abscesses. We suggest this method could be an acceptable option for the management of similar cases, provided that the patient is in good general condition and without septic signs.
Keywords: Duodenal diverticula, Perforation, Conservative management