Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
World Journal of Emergency Surgery
Published in: World Journal of Emergency Surgery 1/2013

Open Access 01-12-2013 | Review

Endoscopic rendez-vous after damage control surgery in treatment of retroperitoneal abscess from perforated duodenal diverticulum: a techinal note and literature review

Authors: Ivan Barillaro, Veronica Grassi, Angelo De Sol, Claudio Renzi, Giovanni Cochetti, Francesco Barillaro, Alessia Corsi, Alban Cacurri, Adolfo Petrina, Lucio Cagini, Carlo Boselli, Roberto Cirocchi, Giuseppe Noya

Published in: World Journal of Emergency Surgery | Issue 1/2013

Login to get access

Abstract

Introduction

The duodenum is the second seat of onset of diverticula after the colon. Duodenal diverticulosis is usually asymptomatic, but duodenal perforation with abscess may occur.

Case presentation

Woman, 83 years old, emergency hospitalised for generalized abdominal pain. On the abdominal tomography in the third portion of the duodenum a herniation and a concomitant full-thickness breach of the visceral wall was detected. The patient underwent emergency surgery. A surgical toilette of abscess was performed passing through the perforated diverticula and the Petzer’s tube drainage was placed in the duodenal lumen; the duodenostomic Petzer was endoscopically removed 4 months after the surgery.

Discussion

A review of medical literature was performed and our treatment has never been described.

Conclusion

For the treatment of perforated duodenal diverticula a sequential two-stage non resective approach is safe and feasible in selected cases.
Appendix
Available only for authorised users
Literature
1.
Knoefel WT, Rattner DW: Duodenal diverticula and duodenal tumours, 1. Oxford Text Book of Surgery. Edited by: Morris PJ, Malt RA. 1994, New York: Oxford University Press, 943-946.
2.
Evers BM: Small intestine. In Sabiston textbook of surgery: the biological basis of modern surgical practice. 18th edition. Edited by Townsend CM,Beauchamp RD, Evers BM, Mattox KL. Philadelphia: WB Saunders Company; 2008:1318–1319.
3.
Dionigi R, Mosca F, Dominioni L, Dionigi G: Stomaco e duodeno. Chirurgia: basi teoriche e chirurgia generale. Edited by: Dionigi R. Milano: Elsevier Masson,2002: 503-3
4.
Evers BM, Townsend CM, Thompson JC: Small intestine. Schwartz's principles of surgery. Edited by: Shwartz SI, Shires GT, Spencer FC, Daly JM, Fischer JE, Galloway AC. 1999, New York: MCGraw-Hill, 1247-7
5.
Chomel JB: Report of a case of duodenal diverticulum containing gallstones. Histoire Acad R Sci Paris. 1710, 48-50.
6.
Sakurai Y, Miura H, Matsubara T: Perforated duodenal diverticulum successfully diagnosed preoperatively with abdominal CT scan associated with upper gastrointestinal series. J Gastroenterol. 2004, 39: 379-383.CrossRefPubMed
7.
Yokomuro S, Uchida E, Arima Y: Simple closure of a perforated duodenal diverticulum: “a case report”. J Nihon Med Sch. 2004, 71: 337-339.CrossRef
8.
Miller G, Mueller C, Yim D: Perforated duodenal diverticulitis: a report of three cases. Dig Surg. 2005, 22: 198-202.CrossRefPubMed
9.
Chen CF, Wu DC, Chen CW: Successful management of perforated duodenal diverticulitis with intra-abdominal drainage and feeding jejunostomy: a case report and literature review. Kaohsiung J Med Sci. 2008, 24: 425-429.CrossRefPubMed
10.
Schnueriger B, Vorburger SA, Banz VM: Diagnosis and management of the symptomatic duodenal diverticulum: a case series and a short review of the literature. J Gastrointest Surg. 2008, 12: 1571-1576.CrossRefPubMed
11.
Thorson CM, Paz Ruiz PS, Roeder RA: The perforated duodenal diverticulum. Arch Surg. 2012, 147: 81-88.CrossRefPubMed
12.
Lida F: Transduodenal diverticulectomy for periampullar diverticula. World J Surg. 1979, 3 (103–6): 135-136.
13.
Pearl MS, Hill MC, Zeman RK: CT findings in duodenal diverticulitis. AJR Am J Roentgenol. 2006, 187: 392-395.CrossRef
14.
15.
16.
Franzen D, Gürtler T, Metzger U: Solitary duodenal diverticulum with enterolith as a rare cause of acute abdomen. Swiss Surg. 2002, 8: 277-279.CrossRefPubMed
17.
18.
Van Beers B, Trigaux JP, De Ronde T, Melange M: CT findings of perforated duodenal diverticulitis. J Comput Assist Tomogr. 1989, 13: 528-530.CrossRefPubMed
19.
Martinez-Cecilia D, Arjona-Sanchez A, Gomez-Alvarez M: Conservative management of perforated duodenal diverticulum: a case report and review of the literature. World J Gastroenterol. 2008, 14: 1949-1951.PubMedCentralCrossRefPubMed
20.
Huang RY, Romano AE, Stone ME, Nathanson N: Diagnosis and treatment of a perforated duodenal diverticulum. Emerg Radiol. 2007, 13: 285-287.CrossRefPubMed
21.
22.
23.
Lee HH, Hong JY, Oh SN: Laparoscopic diverticulectomy for a perforated duodenal diverticulum: a case report. J Laparoendosc Adv Surg Tech A. 2010, 20: 757-760.CrossRefPubMed
24.
Metcalfe MJ, Rashid TG, Bird RR: Isolated perforation of a duodenal diverticulum following blunt abdominal trauma. J Emerg Trauma Shock. 2010, 3: 79-81.PubMedCentralCrossRefPubMed
25.
Gottschalk U, Becker C, Stöhr M: Duodenal diverticulum–a therapeutic challenge. Gastroenterol. 2010, 48: 551-554.CrossRef
26.
Volchok J, Massimi T, Wilkins S: Duodenal diverticulum: case report of a perforated extraluminal diverticulum containing ectopic pancreatic tissue. Arch Surg. 2009, 144: 188-190.CrossRefPubMed
27.
López Zárraga F, Saenz De Ormijana J, Diez Orive M: Abdominal pain in a young woman. Eur Radiol. 2009, 19: 2783-2786. NovCrossRefPubMed
28.
Ames JT, Federle MP, Pealer KM: Perforated duodenal diverticulum: clinical and imaging findings in eight patients. Abdom Imaging. 2009, 34: 135-139. Mar-AprCrossRefPubMed
29.
Guinier D, Kovacs R: Spontaneous perforation of a retroperitoneal duodenal diverticulum. J Chir (Paris). 2008, 145: 287-288. May-JunCrossRef
30.
Hirota S, Tsujikawa T, Kitoh K: An elderly woman with duodenal perforation difficulty diagnose. Nihon Ronen Igakkai Zasshi. 2007, 44: 752-755.CrossRefPubMed
31.
Andromanakos N, Filippou D, Skandalakis P: An extended retroperitoneal abscess caused by duodenal diverticulum perforation: report of a case and short review of the literature. Am Surg. 2007, 73: 85-88.PubMed
32.
Valenzuela Martínez MJ, Bonasa E, Sánchez JM: Traumatic perforation of a duodenal diverticulum. Cir Esp. 2006, 80: 224-226.CrossRefPubMed
33.
Safioleas M, Stamatakos MK, Mouzopoulos GJ: Pancreatic abscess due to perforation of duodenal diverticulum. Chirurgia (Bucur). 2006, 101: 523-524. Sep-Oct
34.
35.
Papalambros E, Felekouras E, Sigala F: Retroperitoneal perforation of a duodenal diverticulum with colonic necrosis - report of a case. Zentralbl Chir. 2005, 130: 270-273.CrossRefPubMed
36.
Lee VT, Chung AY, Soo KC: Mucosal repair of posterior perforation of duodenal diverticulitis using roux loop duodenojejunostomy. Asian J Surg. 2005, 28: 139-141.CrossRefPubMed
37.
38.
Yarze JC: Duodenoscopic diagnosis of perforated periampullary diverticulitis. Am J Gastroenterol. 2002, 97: 769-CrossRefPubMed
39.
Atmani A, Lachachi F, Sodji M: Perforated juxta-papillary duodenal diverticula: two cases. Gastroenterol Clin Biol. 2002, 26: 285-288.PubMed
40.
Gulotta G, Agosta G, Romano G: Perforated duodenal diverticulum: report of a case. Chir Ital. 2001, 53: 255-258. Jan-FebPubMed
41.
Eeckhout G, Vanstiphout J, Van Pottelbergh I: Endoscopic treatment of a perforated duodenal diverticulum. Endoscopy. 2000, 32: 991-993.CrossRefPubMed
42.
Tsukamoto T, Ohta Y, Hamba H: Perforated duodenal diverticulum: report of two cases. Hepatogastroenterology. 1999, 46: 1755-1758. May-JunPubMed
43.
Poostizadeh A, Gow KW, Al-Mahmeed T: Traumatic perforation of duodenal diverticulum. J Trauma. 1997, 43: 370-371.CrossRefPubMed
44.
Ido K, Agata H, Toshimitsu K: Preoperative diagnosis of perforated duodenal diverticulum with ultrasonography. Clin Ultrasound. 1997, 25: 149-153. Mar-AprCrossRef
45.
Cavanagh JE: Iatrogenic perforation of perivaterian duodenal diverticulum: report of a case. Can J Surg. 1996, 39: 336-338.PubMedCentralPubMed
46.
Mehdi A, Closset J, Houben JJ: Duodenal diverticula--diagnosis and management of complicated forms: report of two clinical cases and review of the literature. Acta Chir Belg. 1994, 94: 311-313. Nov-DecPubMed
47.
Guglielmi A, Veraldi GF, Leopardi F: The perforation of a para-Vater's duodenal diverticulum (a report of 2 clinical cases) Ann Ital Chir. May-Jun;. 1993, 64: 309-312. discussion 313
48.
Pugash RA, O'Brien SE, Stevenson GW: Perforating duodenal diverticulitis. Gastrointest Radiol. 1990, 15: 156-158.CrossRefPubMed
49.
Steinman E, Utiyama EM, Bevilacqua RG: [Perforated duodenal diverticulum: a report of 2 cases]. Rev Hosp Clin Fac Med Sao Paulo. 1989, 44: 121-123. May-JunPubMed
50.
Beech RR, Friesen DL, Shield CF: Perforated duodenal diverticulum: treatment by tube duodenostomy. Curr Surg. 1985, 42: 462-465. Nov-DecPubMed
51.
Metadata
Title
Endoscopic rendez-vous after damage control surgery in treatment of retroperitoneal abscess from perforated duodenal diverticulum: a techinal note and literature review
Authors
Ivan Barillaro
Veronica Grassi
Angelo De Sol
Claudio Renzi
Giovanni Cochetti
Francesco Barillaro
Alessia Corsi
Alban Cacurri
Adolfo Petrina
Lucio Cagini
Carlo Boselli
Roberto Cirocchi
Giuseppe Noya
Publication date
01-12-2013
Publisher
BioMed Central
Published in
World Journal of Emergency Surgery / Issue 1/2013
Electronic ISSN: 1749-7922
DOI
https://doi.org/10.1186/1749-7922-8-26

Other articles of this Issue 1/2013

World Journal of Emergency Surgery 1/2013 Go to the issue

Research article

Routine ultrasound examination by OB/GYN residents increase the accuracy of diagnosis for emergency surgery in gynecology

Review

Cocaine-associated hemoperitoneum following atraumatic splenic rupture: a case report and literature review

Research article

GCS as a predictor of mortality in patients with traumatic inferior vena cava injuries: a retrospective review of 16 cases

Research article

Colorectal emergencies associated with penetrating or retained foreign bodies

Review

Benign cystic mesothelioma of the peritoneum: a case report and literature review

Review

Small bowel obstruction and perforation attributed to tubo-ovarian abscess following 'D’ and 'C’