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Revista Cubana de Cirugía

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2011, Number 4

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Revista Cubana de Cirugía 2011; 50 (4)

Perforated duodenal diverticulum as cause of surgical acute abdomen

Estévez ÁN, Cruz AJR, Rivero MN, Estévez TNM, Bonachea PY
Full text How to cite this article

Language: Spanish
References: 10
Page: 570-575
PDF size: 138.08 Kb.


Key words:

perforated duodenal diverticulum, acute abdomen.

ABSTRACT

The duodenal diverticular disease is considered within surgery of digestive tracts as unusual. The less frequent complication referred in medical literature is the acute perforation and when it occurs always will be carried out the emergency surgical treatment. It is polemic to arrive to a general consensus directing the diagnostic methodology due to its atypical way of presentation. The abdominal tomography has been very useful in diagnosis of this entity. Authors report high mortality rates (25-30 %) in general originated by the diagnostic difficulty in face of this disease. A new case of perforated duodenal diverticulum of a female sex patient aged 60. The surgical technique used in this opportunity was the duodenal exclusion and the retroperitoneal drainage.


REFERENCES

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  6. Zoepf T, Zoepf DS, Arnold JC, Benz C, Rienmann JF. The relationship between juxtapapillary duodenal diverticula and disorders of the biliopancreatic system: analysis of 350 patientes. Gastrointest Endosc. 2001;54:56-61.

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  8. Macari M, Lazarus D, Israel G. Duodenal diverticula mimicking cystic neoplasms of the páncreas: CT and MR imaging findings in seven patients. Am J Roentgemol. 2003;18(2):195-9.

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Revista Cubana de Cirugía. 2011;50