Perforación de divertículo duodenalUna complicación poco frecuente

  1. Manuel, A 1
  2. Ramia, JM 1
  3. Latorre, R 1
  4. Medina, A 1
  5. Diego, L 1
  6. de la Plaza, R 1
  1. 1 Hospital Universitario de Guadalajara. Servicio de Cirugía General y Digestiva
Journal:
Revista española de investigaciones quirúrgicas

ISSN: 1139-8264

Year of publication: 2017

Volume: 20

Issue: 3

Pages: 87-89

Type: Article

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Abstract

About 95% of the duodenal diverticula are asymptomatic, with incidental diagnosis after imaging tests for other reasons. Among its complications, perforation is the least frequent. We present a patient with acute abdomen secondary to perforated duodenal diverticulum and successful surgical management. The duodenal diverticula are mostly acquired and periampular localization. They may associate vague symptomatology or develop complications such as diverticulitis, obstruction, bleeding or perforation, which may be spontaneous, secondary to diverticulitis or iatrogenic. The recommendation for management of intestinal perforation secondary to duodenal diverticulum is surgical treatment. Conservative management with digestive rest, antibiotic therapy, and percutaneous drainage of collections have also been described in patients with high surgical risk with no sepsis data.

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