Background: The duodenum is a common site for diverticulum formation. Most of the duodenal diverticula are asymptomatic, incidental findings. Perforation is a rare but potentially lethal complication of duodenal diverticular disease. Surgery remains the mainstay of treatment for perforated duodenal diverticula. In recent years, a few cases were successfully managed either conservatively or with endoscopy. Case presentation: We present two cases of female patients treated in our department for duodenal diverticulum perforation. The first case was treated surgically with a diverticulectomy. The second case was managed conservatively with bowel rest and intravenous antibiotics. Both patients had an uncomplicated postoperative course and were discharged home. Conclusions: Both surgical and conservative treatments are viable options for a perforated duodenal diverticulum in selected patients. Patients with a contained duodenal diverticular perforation can be managed conservatively at the outset. Possibly, the introduction of a classification system for duodenal diverticulum perforation may help clinicians in making essential therapeutic decisions.
CITATION STYLE
Moysidis, M., Paramythiotis, D., Karakatsanis, A., Amanatidou, E., Psoma, E., Mavropoulou, X., & Michalopoulos, A. (2020). The challenging diagnosis and treatment of duodenal diverticulum perforation: A report of two cases. BMC Gastroenterology, 20(1). https://doi.org/10.1186/s12876-019-1154-2
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