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Case Reports in Surgery
Volume 2017 (2017), Article ID 4045970, 5 pages
https://doi.org/10.1155/2017/4045970
Case Report

Perforated Duodenal Diverticulum Treated Conservatively: Another Two Successful Cases

1Division of General Surgery, Department of Surgery, American University of Beirut Medical Center, Riad El-Solh, Beirut 1107 2020, Lebanon
2Division of Interventional Radiology, Department of Diagnostic Radiology, American University of Beirut Medical Center, Riad El-Solh, Beirut 1107 2020, Lebanon

Correspondence should be addressed to Ali H. Hallal

Received 26 March 2017; Accepted 18 April 2017; Published 7 May 2017

Academic Editor: Dimitrios Mantas

Copyright © 2017 Jad A. Degheili et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Diverticula of the duodenum proceed those of the colon in respect to frequency of location. Incidence at times of autopsy ranges from 15 to 23%. Despite the fact that more than 90% of duodenal diverticulum cases are asymptomatic, complications if they do occur can be calamitous. Perforation is one of these rare complications. Surgical intervention has always been the mainstay for symptomatic/complicated duodenal diverticula, but with the advancement of imaging, medical treatment, and proper intensive observation, conservative treatment came forth. We hereby present two cases of duodenal diverticula, complicated by perforation and fistulization into the retroperitoneal cavity, both treated conservatively by Taylor’s approach of upper gastrointestinal tract perforation. Review of other cases of duodenal diverticulum perforation has also been presented.