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Conservative management of perforated duodenal diverticulum: A case report and review of the literature 被引量：2

Conservative management of perforated duodenal diverticulum: A case report and review of the literature
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摘要 Duodenal diverticula are a relatively common condition. They are asymptomatic, unless they become complicated, with perforation being the rarest but most severe complication. Surgical treatment is the most frequently performed approach. We report the case of a patient with a perforated duodenal diverticulum, which was diagnosed early and treated conservatively with antibiotics and percutaneous drainage of secondary retroperitoneal abscesses. We suggest this method could be an acceptable option for the management of similar cases, provided that the patient is in good general condition and without septic signs. Duodenal diverticula are a relatively common condition. They are asymptomatic, unless they become complicated, with perforation being the rarest but most severe complication. Surgical treatment is the most frequently performed approach. We report the case of a patient with a perforated duodenal diverticulum, which was diagnosed early and treated conservatively with antibiotics and percutaneous drainage of secondary retroperitoneal abscesses. We suggest this method could be an acceptable option for the management of similar cases, provided that the patient is in good general condition and without septic signs.
作者 David Martínez-Cecilia Alvaro Arjona Sánchez Manuel Gómez álvarez Eva Torres Tordera Antonio Luque Molina Victor Valentí Azcárate Javier Briceo Delgado Francisco Javier Padillo Pedro López-Cillero Sebastián Rufián Pea
机构地区 Hospital Universitario Reina Sofia Clínica Universitaria de Navarra
出处 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第12期1949-1951,共3页 世界胃肠病学杂志（英文版）
关键词 十二指肠 憩室 穿孔 保守治疗 Duodenal diverticula, Perforation, Conservativemanagement
分类号 R656.7 [医药卫生—外科学]
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参考文献13

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同被引文献14

  • 1胡国潢,段炼,周军,汤恢焕.十二指肠乳头旁憩室致梗阻性黄疸的诊治[J].中国普通外科杂志,2006,15(3):218-220. 被引量：5
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  • 6Schnueriger B, Vorburger SA, Banz VM, et al. Diagnosis and management of the symptomatic duodenal diverticulum: a case series and a short review of the literature [ J ] . J Gastrointest Surg, 2008, 12(9) :1571 - 1576.
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  • 8Jones TW, Merendino KA. The perplexing duodenal diverticulum[J]. Surgery, 1960, 48:1068 1084.
  • 9Ames JT, Federle MP, Pealer KM. Perforated duodenal diver- ticulum: clinical and imaging findings in eight patients [ J ]. Abdom Imaging, 2009, 34 (2) : 135 - 139.
  • 10Chiang TH, Lee YC, Chiu HM, et al. Endoscopic therapeutics for patients with cholangitis caused by the juxtapapillary duodenal diverticulum [ J ]. Hepatogastroenterology, 2006 53(70) :501 -505.

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World Journal of Gastroenterology
2008年 第12期

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