2026, Number 2
Perforated duodenal diverticulum treated conservatively
Romero MRD, Reyna DPI, Astudillo GF, Verde MMA
Full text
10.35366/122617
Language: Spanish
References: 6
Page: 135-138
PDF size: 1129.25 Kb.
ABSTRACT
Introduction: duodenal diverticula are common conditions; however, perforation is a rare occurrence. Accuracy is required for its diagnosis because it is not the first suspicion in the face of abdominal pain and is often confused with other differential entities. Although there are few reported cases of conservative treatment, as some patients can use it, several reports have shown satisfactory results. However, it is necessary to maintain close monitoring, and surgical procedures should always be considered. We describe the case of a patient diagnosed with a perforated duodenal diverticulum who received conservative treatment, which evolved satisfactorily. Case presentation: a 50-year-old patient with a history of systemic arterial hypertension, transient ischemic attack, and gastroesophageal reflux disease was admitted to the emergency department secondary to severe abdominal pain, postural discomfort, abdominal distension, and a CT scan diagnosis of duodenal perforation. He was hemodynamically stable. A new imaging study with oral contrast was performed due to the lack of a previous study, reporting perforation of the duodenal diverticulum with no contrast medium leak. Conservative treatment was decided upon, with an adequate outcome four months after the event described. Conclusion: conservative treatment is effective for initially treating patients without complications.REFERENCES