Pancreatoduodenectomy in patient with perforated duodenal diverticulum and peritonitis: Case report
| Autor: | Andrei Cocieru, Justus Philip |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Duodenal diverticulum
medicine.medical_specialty Perforation (oil well) Population Peritonitis Autopsy digestive system Epigastric pain Article 03 medical and health sciences 0302 clinical medicine otorhinolaryngologic diseases medicine education education.field_of_study Perforation business.industry General surgery food and beverages Diverticulitis medicine.disease digestive system diseases surgical procedures operative 030220 oncology & carcinogenesis Pancreatoduodenectoomy 030211 gastroenterology & hepatology Surgery Segmental resection Presentation (obstetrics) business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Duodenal diverticulum is present in 5–22% of population. • Complicated diverticulum can lead to perforation, bleeding, obstruction, pancreatitis. • Pancreatoduodenectomy is an option when all other surgical approaches are not usable. 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.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]. |
| Databáze: | OpenAIRE |
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