Abstract
An 80-year-old woman was admitted to our hospital because of high fever and general fatigue. On the basis of abdominal computed tomography findings, a duodenal diverticular perforation was diagnosed. Upper gastrointestinal endoscopy revealed an incarcerated enterolith in the periampullary diverticulum. We achieved conservative management by inserting an endoscopic nasal biliary drainage tube into the duodenal diverticulum to remove the incarcerated enterolith and aid drainage. The patient was discharged from hospital without serious complications 26 days after admission. We report a case of duodenal diverticular perforation with an incarcerated enterolith treated conservatively using endoscopic therapy.
