Figure - available from: Case Reports in Surgery
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Duodenal diverticulitis. Axial CT scan shows inflamed diverticulum (arrow) medial to the duodenum (arrowheads). There was also free retroperitoneal air (not shown here).
Source publication
Duodenal diverticula are relatively frequent but complications are uncommon. The mortality rate of perforated duodenal diverticulitis is high, and its management is controversial. We report three patients with a perforated duodenal diverticulitis who were successfully treated with conservative antibiotic therapy. The clinical presentation in all th...
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Abdominal computed tomography (CT) is frequently performed to evaluate gastrointestinal pathologic conditions. The majority of the gastrointestinal radiology literature has concentrated on the colon, stomach, and distal small bowel. The duodenum is often overlooked on imaging, namely on CT, but its anatomy (intra and retroperitoneal) and location i...
Citations
... Obstructive jaundice can rarely occur from diverticulum, a condition known as Lemmel's syndrome [3,13]. Additionally, like diverticulum in other parts of the gastrointestinal tract, a perforation can occur leading to intraabdominal abscess or sepsis [14]. Patients with duodenal diverticulum may have a genetic predisposition, with obesity increasing the risk for acquired diverticular disease [15]. ...
Duodenal diverticulitis is a relatively uncommon finding in patients. Treatment of complications of duodenal diverticulitis may be challenging in patients with altered intestinal anatomy such as those with altered anatomy from weight loss procedures involving intestinal bypass. We present a case report describing the management of duodenal diverticulitis following a biliopancreatic diversion, our decision-making process, and our final treatment strategy.
