Duodenal Diverticular Perforation after Small Bowel Obstruction: A Case Report
Introduction. Duodenal diverticulum is a rare disease that can be easily missed. The incidence of duodenal diverticulum diagnosed by upper GI study is approximately 5%. Autopsy results show that 22% of the population have duodenum diverticulum. Most patients with duodenal diverticulum are asymptomat...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2018/6197828 |
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| author | Khuram Khan Saqib Saeed Haytham Maria Mohammed Sbeih Farhana Iqbal Alexius Ramcharan Brian Donaldson |
| author_facet | Khuram Khan Saqib Saeed Haytham Maria Mohammed Sbeih Farhana Iqbal Alexius Ramcharan Brian Donaldson |
| author_sort | Khuram Khan |
| collection | DOAJ |
| description | Introduction. Duodenal diverticulum is a rare disease that can be easily missed. The incidence of duodenal diverticulum diagnosed by upper GI study is approximately 5%. Autopsy results show that 22% of the population have duodenum diverticulum. Most patients with duodenal diverticulum are asymptomatic. However, complications like inflammation, perforation with retroperitoneal abscess, sepsis, pancreatitis, bile duct obstruction, and bleeding can occur. Approximately 162 cases of perforated duodenal diverticulum have been reported in the literature. Case Presentation. We present a rare case of an 82-year-old female with perforation of a duodenal diverticulum caused by small bowel obstruction; in addition to this, there was a synchronous colonic tumor. Conclusion. Diagnosis and management of this rare disorder are controversial. Nonoperative management is advocated in some cases. Some of the cases require early aggressive surgical intervention. The mortality rate remains approximately 45% in all these patients. |
| format | Article |
| id | doaj-art-fa1c176995d645efbcc3124b01dd300c |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-fa1c176995d645efbcc3124b01dd300c2025-02-03T01:32:04ZengWileyCase Reports in Surgery2090-69002090-69192018-01-01201810.1155/2018/61978286197828Duodenal Diverticular Perforation after Small Bowel Obstruction: A Case ReportKhuram Khan0Saqib Saeed1Haytham Maria2Mohammed Sbeih3Farhana Iqbal4Alexius Ramcharan5Brian Donaldson6Department of Surgery, Harlem Hospital Center, Columbia University, New York, NY, USADepartment of Surgery, Harlem Hospital Center, Columbia University, New York, NY, USADepartment of Surgery, Harlem Hospital Center, Columbia University, New York, NY, USADepartment of Surgery, Harlem Hospital Center, Columbia University, New York, NY, USADepartment of Medicine, Richmond University Medical Center, Staten Island, New York, NY, USADepartment of Surgery, Harlem Hospital Center, Columbia University, New York, NY, USADepartment of Surgery, Harlem Hospital Center, Columbia University, New York, NY, USAIntroduction. Duodenal diverticulum is a rare disease that can be easily missed. The incidence of duodenal diverticulum diagnosed by upper GI study is approximately 5%. Autopsy results show that 22% of the population have duodenum diverticulum. Most patients with duodenal diverticulum are asymptomatic. However, complications like inflammation, perforation with retroperitoneal abscess, sepsis, pancreatitis, bile duct obstruction, and bleeding can occur. Approximately 162 cases of perforated duodenal diverticulum have been reported in the literature. Case Presentation. We present a rare case of an 82-year-old female with perforation of a duodenal diverticulum caused by small bowel obstruction; in addition to this, there was a synchronous colonic tumor. Conclusion. Diagnosis and management of this rare disorder are controversial. Nonoperative management is advocated in some cases. Some of the cases require early aggressive surgical intervention. The mortality rate remains approximately 45% in all these patients.http://dx.doi.org/10.1155/2018/6197828 |
| spellingShingle | Khuram Khan Saqib Saeed Haytham Maria Mohammed Sbeih Farhana Iqbal Alexius Ramcharan Brian Donaldson Duodenal Diverticular Perforation after Small Bowel Obstruction: A Case Report Case Reports in Surgery |
| title | Duodenal Diverticular Perforation after Small Bowel Obstruction: A Case Report |
| title_full | Duodenal Diverticular Perforation after Small Bowel Obstruction: A Case Report |
| title_fullStr | Duodenal Diverticular Perforation after Small Bowel Obstruction: A Case Report |
| title_full_unstemmed | Duodenal Diverticular Perforation after Small Bowel Obstruction: A Case Report |
| title_short | Duodenal Diverticular Perforation after Small Bowel Obstruction: A Case Report |
| title_sort | duodenal diverticular perforation after small bowel obstruction a case report |
| url | http://dx.doi.org/10.1155/2018/6197828 |
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