Open AccessSuccessful Management of Perforated Duodenal Diverticulitis With Intra‐abdominal Drainage and Feeding Jejunostomy: A Case Report and Literature Review
Author(s) -
Chen ChinFan,
Wu DengChyang,
Chen ChaoWen,
Hsieh JanSing,
Chen ChiaoYun,
Wang JawYuan
Publication year - 2008
Publication title -
the kaohsiung journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.439
H-Index - 36
eISSN - 2410-8650
pISSN - 1607-551X
DOI - 10.1016/s1607-551x(08)70167-0
Subject(s) - medicine , diverticulitis , jejunostomy , surgery , abdomen , abdominal distension , abscess , abdominal pain , acute abdomen , radiology , general surgery , parenteral nutrition
We report the clinical experience of one patient with perforated duodenal diverticulitis who was successfully treated by intra‐abdominal drainage and feeding jejunostomy. A 53‐year‐old male patient visited our hospital due to acute onset of abdominal pain and distension. Physical examination revealed tenderness over the epigastric area and right‐lower quadrant of the abdomen without obvious rebound tenderness or muscle guarding. Duodenal diverticulitis with a retroperitoneal abscess was identified by abdominal computed tomography scan. Surgical intervention was performed after the failure of conservative treatment. The operative findings were compatible with perforated duodenal diverticulitis, and intra‐abdominal drainage of retroperitoneal abscess with simultaneous feeding jejunostomy was undertaken. The patient was doing well at the 4‐month postoperative follow‐up visit. We suggest the use of a conservative operative method, as opposed to conventional diverticulectomy and duodenorrhaphy, as an alternative approach for the management of this disorder, especially when conservative treatment has failed.