Traumatic perforated diverticulum of the fourth duodenal portion: First case report and literature review.
Abdominal trauma
Case report
Duodenal diverticulum
Perforation
Journal
Annals of medicine and surgery (2012)
ISSN: 2049-0801
Titre abrégé: Ann Med Surg (Lond)
Pays: England
ID NLM: 101616869
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
received:
06
05
2020
revised:
11
07
2020
accepted:
12
07
2020
entrez:
4
8
2020
pubmed:
4
8
2020
medline:
4
8
2020
Statut:
epublish
Résumé
Duodenal rupture following blunt abdominal trauma is rare, and traumatic rupture of duodenal diverticula is exceptional. However, duodenum is the second most frequent location of intestinal diverticula following colon. Duodenal diverticula are common but only in few cases they are symptomatic due to the onset of complications such as inflammation, hemorrhage, or perforation. Perforation, although rare, especially post-trauma, is the most serious life threatening complication. We report the case of a patient who, 24 hours after a blunt trauma secondary to a car accident, complained symptoms related to the perforation of a diverticulum of the fourth portion of the duodenum. A computed tomography was performed and extraluminal fluid-air collection was identified. During emergent laparotomy, a fourth portion perforated duodenal diverticulum was diagnosed, and resected. The recovery was uneventful. Diagnosis of perforated duodenal diverticulum represents a challenge in diagnosis and few guidelines exist about the management of this rare occurrence, especially in a traumatic setting. The present case is the first report of traumatic perforated diverticulum of the fourth duodenal portion. Surgery still remain the most common approach in the treatment of this pathology, including diverticulectomy and primary repair.
Identifiants
pubmed: 32742650
doi: 10.1016/j.amsu.2020.07.026
pii: S2049-0801(20)30208-9
pmc: PMC7385273
doi:
Types de publication
Case Reports
Langues
eng
Pagination
114-117Informations de copyright
© 2020 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.
Références
Zentralbl Chir. 2012 Dec;137(6):554-5
pubmed: 21302212
Radiographics. 2008 Oct;28(6):1591-602
pubmed: 18936023
Arch Surg. 2012 Jan;147(1):81-8
pubmed: 22250120
Cir Esp. 2006 Oct;80(4):224-6
pubmed: 17040673
World J Gastrointest Surg. 2013 Mar 27;5(3):47-50
pubmed: 23556061
BMJ Case Rep. 2014 Sep 30;2014:
pubmed: 25270157
Rev Esp Enferm Dig. 2012 Mar;104(3):156-7
pubmed: 22449163
Gastroenterol Clin Biol. 2002 Mar;26(3):285-8
pubmed: 11981473
Ann Surg. 1943 Mar;117(3):403-13
pubmed: 17858190
Int J Surg Case Rep. 2014;5(8):547-50
pubmed: 25016082
North Clin Istanb. 2015 Jun 12;3(2):143-145
pubmed: 28058403
Surg Endosc. 2000 Jun;14(6):592
pubmed: 11287993
Am Surg. 2015 Mar;81(3):E111-2
pubmed: 25760184
Am Surg. 2008 Aug;74(8):781-2
pubmed: 18705589
Acta Chir Scand. 1960 May 25;119:20-3
pubmed: 13803655
Am Surg. 1985 Mar;51(3):121-31
pubmed: 3977185
J Emerg Trauma Shock. 2010 Jan;3(1):79-81
pubmed: 20165728
Int J Surg. 2018 Dec;60:132-136
pubmed: 30342279
Abdom Imaging. 2009 Mar-Apr;34(2):135-9
pubmed: 18253777
Case Rep Surg. 2017;2017:4045970
pubmed: 28555171
Rev Hosp Clin Fac Med Sao Paulo. 1996 Nov-Dec;51(6):247-9
pubmed: 9239899
Acta Chir Belg. 2015 Jul-Aug;115(4):310-3
pubmed: 26324035
J Visc Surg. 2013 Jun;150(3):173-9
pubmed: 23810155
World J Gastroenterol. 2008 Mar 28;14(12):1949-51
pubmed: 18350639
Br J Sports Med. 2000 Jun;34(3):218-9
pubmed: 10854026
Br J Surg. 1992 Sep;79(9):877-81
pubmed: 1422745
J Trauma. 1997 Aug;43(2):370-1
pubmed: 9291392
Zentralbl Chir. 1970 Jan 24;95(4):129-31
pubmed: 4990226