Divertículo duodenal perforado. Reporte de caso

Gustavo Armand Ugon; Daniel González; Pilar Arciénega; Gabriela Rodríguez

doi:10.31837/cir.urug/3.2.3

Perforated duodenal diverticulum. Case Report

Authors

Gustavo Armand Ugon Universidad de la República, Facultad de Medicina, Hospital Maciel, Clínica Quirúrgica 3 https://orcid.org/0000-0003-2636-0867
Daniel González https://orcid.org/0000-0003-3916-9201
Pilar Arciénega Universidad de la República, Facultad de Medicina, Hospital Maciel, Clínica Quirúrgica 3 https://orcid.org/0000-0002-1981-3402
Gabriela Rodríguez Universidad de la República, Facultad de Medicina, Hospital Maciel, Clínica Quirúrgica 3 https://orcid.org/0000-0002-6076-4999

DOI:

https://doi.org/10.31837/cir.urug/3.2.3

Keywords:

diverticulitis, duodenal diverticulum, perforation

Abstract

The perforation of a duodenal diverticulum (Dd) is an exceptional complication, it does not present a pathognomonic clinic.

60-years-old woman, with no history of ulcerative dyspepsia. Intense epigastric pain, transfixing, 8 hours of evolution. Pain on palpation of right hypochondrium.

Humoral paraclinical: leukocytosis 14,200, normal rest. Tomography: perforated Dd and retro-peritonitis.

Supraumbilical medium. Decodeduodenum-cephalo-pancreatic, identification and resection of theDd, duodenal raffia in two planes (polyglactin-910, surjet), toilette and retroperitoneal drainage.

Postoperative: evolution without complications, discharge a week.

We solved the perforation by duodenorraphy, we did not perform duodenal exclusion orgastro-jejunum-anastomosis (the latter two are included in the most recommended treatment).

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References

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Published

2019-09-23

How to Cite

Armand Ugon G, González D, Arciénega P, Rodríguez G. Perforated duodenal diverticulum. Case Report. Cir. Urug. [Internet]. 2019 Sep. 23 [cited 2024 May 13];3(2):24-8. Available from: https://revista.scu.org.uy/index.php/cir_urug/article/view/64

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Issue

Vol. 3 No. 2 (2019): Cirugía del Uruguay

Section

Clinical cases

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