Document Detail

Perforated duodenal diverticulitis: a report of three cases.
MedLine Citation:
PMID:  16137998     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Duodenal diverticuli are present in up to 22% of the population. However, perforation of a duodenal diverticulum with spillage of enteric contents into the retroperitoneum is rare. METHODS: We report three cases of perforated duodenal diverticulitis. RESULTS: Clinical presentations varied widely from patients with acute abdominal findings and generalized sepsis to a patient with mild symptoms of abdominal discomfort. CT scanning was the imaging modality used to make an accurate diagnosis. Treatment approaches for the most stable patient included nonoperative management with antibiotics, bowel rest and parenteral alimentation, while the less stable patients underwent definitive surgery with complete diversion of gastric contents and biliary flow from the affected area of duodenum. CONCLUSIONS: This report highlights the salient issues in the presentation, diagnosis and modern management of patients with this potentially catastrophic disease.
George Miller; Claudia Mueller; Duke Yim; Michael Macari; Howard Liang; Stuart Marcus; Peter Shamamian
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2005-02-04
Journal Detail:
Title:  Digestive surgery     Volume:  22     ISSN:  0253-4886     ISO Abbreviation:  Dig Surg     Publication Date:  2005  
Date Detail:
Created Date:  2005-09-20     Completed Date:  2005-12-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8501808     Medline TA:  Dig Surg     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  198-202     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2005 S. Karger AG, Basel.
Department of Surgery, New York University School of Medicine, NY, USA.
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MeSH Terms
Aged, 80 and over
Diverticulitis / etiology,  radiography
Diverticulum / complications,  radiography
Duodenal Diseases / complications,  radiography,  therapy*
Intestinal Perforation / etiology,  radiography,  therapy*
Middle Aged
Tomography, X-Ray Computed

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