Retroperitoneal Duodenal Diverticulum Microperforation: The Role of Computed Tomography.

Autor:	Vasin D; Radiology Department, Faculty of Medicine, University of Belgrade, Belgrade, SRB.; Emergency Radiology Department, Center for Radiology, University Clinical Center of Serbia, Belgrade, SRB., Mijovic K; Emergency Radiology Department, Center for Radiology, University Clinical Center of Serbia, Belgrade, SRB., Pavlovic A; Emergency Radiology Department, Center for Radiology, University Clinical Center of Serbia, Belgrade, SRB., Stanic D; Emergency Surgery Department, University Clinical Center of Serbia, Belgrade, SRB., Tomic T; Emergency Radiology Department, Center for Radiology, University Clinical Center of Serbia, Belgrade, SRB.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Jul 27; Vol. 16 (7), pp. e65494. Date of Electronic Publication: 2024 Jul 27 (Print Publication: 2024).
DOI:	10.7759/cureus.65494
Abstrakt:	Duodenal diverticula are relatively common, but perforations are rare and therapy has not yet been standardized. The most common location of diverticula is the descending duodenum, usually on the lateral side next to the pancreas, so perforations present with an atypical clinical course. We present a case of a 73-year-old female patient with epigastric pain and nausea. Abdominal CT revealed an air-fluid collection near the laterocaudal border of the descending duodenum, suggestive of duodenal microperforation and incipient abscess formation. During the operation, a diverticulectomy was performed with primary duodenal closure and abdominal drainage. A diverticulum microperforation contains some extraduodenal air bubbles, no evidence of abscess, and free air in the subdiaphragmatic region. It is an imaging entity with distinct clinical and biochemical features, and radiological findings often determine the final decision on treatment. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Vasin et al.)
Databáze:	MEDLINE
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