Kaohsiung Journal of Medical Sciences
Volume 24, Issue 8 , Pages 425-429 , August 2008

Successful Management of Perforated Duodenal Diverticulitis With Intra-abdominal Drainage and Feeding Jejunostomy: A Case Report and Literature Review

  • Chin-Fan Chen

      Affiliations

    • Department of Surgery, Kaohsiung, Taiwan
    • ,
  • Deng-Chyang Wu

      Affiliations

    • Department of Internal Medicine, Kaohsiung, Taiwan
    • Department of Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
    • ,
  • Chao-Wen Chen

      Affiliations

    • Department of Emergency Medicine, Kaohsiung, Taiwan
    • ,
  • Jan-Sing Hsieh

      Affiliations

    • Department of Surgery, Kaohsiung, Taiwan
    • Department of Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
    • ,
  • Chiao-Yun Chen

      Affiliations

    • Department of Radiology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • Department of Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
    • ,
  • Jaw-Yuan Wang

      Affiliations

    • Department of Surgery, Kaohsiung, Taiwan
    • Department of Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
    • Corresponding Author InformationAddress correspondence and reprint requests to: Professor Jaw-Yuan Wang, Department of Surgery, Kaohsiung Medical University Hospital, 100 Tzyou 1st Road, Kaohsiung 807, Taiwan

Received 1 August 2007 ,Accepted 15 October 2007.

References 

  1. Duarte B , Nagy KK , Cintron J . Perforated duodenal diverticulum . Br J Surg . 1992;79:877–881
  2. Marhin WW , Amson BJ . Management of perforated duodenal diverticula . Can J Surg . 2005;48:79–80
  3. Shackleton ME . Perforation of duodenal diverticulum with massive retroperitoneal emphysema . NZ Med J . 1963;62:93–94
  4. Nelson JA , Burhenne JH . Anomalous biliary and pancreatic duct insertion into pancreatic diverticula . Radiology . 1976;120:49–52
  5. Juler GL , List JW , Stemmer EA , et al.   Perforated duodenal diverticulitis . Arch Surg . 1969;99:572–578
  6. Ferguson CM , Moncure AC . Benign duodenocolic fistula . Dis Colon Rectum . 1985;28:852–854
  7. Tsukamoto T , Ohta Y , Hamba H , et al.   Perforated duodenal diverticulum: report of two cases . Hepatogastroenterology . 1999;46:1755–1758
  8. Glasser CM , Goldman SM , Roda CL , et al.   Preoperative diagnosis of a perforated duodenal diverticulum . AJR Am J Roentgenol . 1978;130:563–564
  9. Harpreet K , Pannu MD , Elliot K , et al.   Complications of endoscopic retrograde cholangiopancreatography: spectrum of abnormalities demonstrated with CT . Radiographics . 2001;21:1441–1453
  10. Sakurai Y , Miura H , Matsubara T , et al.   Perforated duodenal diverticulum successfully diagnosed preoperatively with abdominal CT scan associated with upper gastrointestinal series . J Gastroenterol . 2004;39:379–383
  11. Gore RM , Ghahremani GG , Kirsch MD , et al.   Diverticulitis of the duodenum: clinical and radiological manifestations of seven cases . Am J Gastroenterol . 1991;86:981–985
  12. Stebbings WS , Thomson JP . Perforated duodenal diverticulum: a report of two cases . Postgrad Med J . 1985;61:839–840
  13. Donald JW . Major complications of small bowel diverticula . Ann Surg . 1979;190:183–188
  14. Van Beers B , Trigaux JP , De Ronde T , et al.   CT findings of perforated duodenal diverticulitis . J Comput Assist Tomogr . 1989;13:528–530

PII: S1607-551X(08)70167-0

doi: 10.1016/S1607-551X(08)70167-0

Kaohsiung Journal of Medical Sciences
Volume 24, Issue 8 , Pages 425-429 , August 2008

Article Tools