Pancreatoduodenectomy in patient with perforated duodenal diverticulum and peritonitis: Case report

Title

Pancreatoduodenectomy in patient with perforated duodenal diverticulum and peritonitis: Case report

Creator

Philip Justus; Cocieru Andrei

Publisher

International Journal Of Surgery Case Reports

Date

2019
2019

Description

INTRODUCTION: Duodenal diverticula are quite prevalent in general population, seen on up to 5% of radiology studies and up to 22% of autopsy examinations. PRESENTATION OF THE CASE: 70 years old female was admitted to the hospital with epigastric pain, fevers and elevated white cell count. Abdominal CT scan demonstrated evidence of perforated duodenal diverticulitis which failed to improve with IV antibiotics. Emergent pancreatoduodenectomy was performed with full recovery and uncomplicated hospital stay. DISCUSSIONS: Conservative therapy with antibiotics and bowel rest is successful in majority cases of perforation. Failure of conservative therapy demands surgical management. Variety of surgical approaches ranging from simple diverticulectomy to segmental resection, duodenal exclusion/bypass to pancreatoduodenectomy are available. CONCLUSION: Pancreatoduodenectomy is an option when complicated duodenal diverticulum is not resolved with conservative or interventional therapy. This report has been written in concordance with the SCARE criteria Agha et al. [1]. (C) 2019 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.

Format

Journal Article

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Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

48-49

Volume

58

ISSN

2210-2612

Citation

Philip Justus; Cocieru Andrei, “Pancreatoduodenectomy in patient with perforated duodenal diverticulum and peritonitis: Case report,” NEOMED Bibliography Database, accessed January 26, 2021, https://neomed.omeka.net/items/show/10911.

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