Journal of Nippon Medical School: Vol.71 No.5 page.337

Journal of Nippon Medical School

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ArticleTitle Simple Closure of a Perfoated Duodenal Diverticulum: "A Case Report"

AuthorList Shigeki Yokomuro, Eiji Uchida, Yasuo Arima, Yoshiaki Mizuguchi, Tetsuya Shimizu, Yutaka Kawahigashi, Masao Kawamoto, Ken Takahashi, Masao Arai, Yasuo Arima and Takashi Tajiri

Affiliation Surgery for Organ Function and Biological Regulation Nippon Medical School, Graduate School of Medicine

Language EN

Volume 71

Issue 5

Year 2004

Page 337-339

Received February 23, 2004

Accepted May 10, 2004

Keywords duodenal diverticulum, perforation

Abstract Spontaneous perforation of a duodenal diverticulum is a rare but serious complication with significant mortality rates. Just over 100 cases have been reported in the world literature. One case of perforated duodenal diverticulum treated by simple closure is reported.
An elderly female was admitted to our hospital with an acute abdomen. Computed tomography of the abdomen showed retroperitoneal air around the duodenum and right kidney. Laparotomy with a Kocher maneuver disclosed a perforated diverticulm in the second portion of the duodenum. Although diverticulectomy is the most common treatment, simple closure of the perforated duodenal diverticulum with drainage was performed to avoid injury to the distal common bile duct and ampulla of Vater, which were close to the diverticulum. The patient has fully recovered and has been asymptomatic with no signs of recurrence for 25 months.

Correspondence to Shigeki Yokomuro, MD, Surgery for Organ Function and Biological Regulation, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
yokomuro@nms.ac.jp

ArticleTitle	Simple Closure of a Perfoated Duodenal Diverticulum: "A Case Report"
AuthorList	Shigeki Yokomuro, Eiji Uchida, Yasuo Arima, Yoshiaki Mizuguchi, Tetsuya Shimizu, Yutaka Kawahigashi, Masao Kawamoto, Ken Takahashi, Masao Arai, Yasuo Arima and Takashi Tajiri
Affiliation	Surgery for Organ Function and Biological Regulation Nippon Medical School, Graduate School of Medicine
Language	EN
Volume	71
Issue	5
Year	2004
Page	337-339
Received	February 23, 2004
Accepted	May 10, 2004
Keywords	duodenal diverticulum, perforation
Abstract	Spontaneous perforation of a duodenal diverticulum is a rare but serious complication with significant mortality rates. Just over 100 cases have been reported in the world literature. One case of perforated duodenal diverticulum treated by simple closure is reported. An elderly female was admitted to our hospital with an acute abdomen. Computed tomography of the abdomen showed retroperitoneal air around the duodenum and right kidney. Laparotomy with a Kocher maneuver disclosed a perforated diverticulm in the second portion of the duodenum. Although diverticulectomy is the most common treatment, simple closure of the perforated duodenal diverticulum with drainage was performed to avoid injury to the distal common bile duct and ampulla of Vater, which were close to the diverticulum. The patient has fully recovered and has been asymptomatic with no signs of recurrence for 25 months.
Correspondence to	Shigeki Yokomuro, MD, Surgery for Organ Function and Biological Regulation, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan yokomuro@nms.ac.jp