Abstract
We experienced three cases of perforated duodenal diverticulum between January 2008 and October 2011. All patients (mean age, 66.7 years) were female. The chief complaint at presentation was abdominal pain, and muscular defense was observed in only 1 case. In all cases, diverticulectomy was performed with a mean operation time of 174 minutes and mean blood loss of 180g. Duodenal diverticulum was found in the descending portion of the duodenal in all patients, and the postoperative course was uneventful. Perforation of the duodenal diverticulum is very rare. Although we have had difficulties in diagnosing and treating this condition, it is important to select a suitable treatment. We reviewed 52 cases of perforated duodenal diverticulum in the Japanese medical literature, and suggest diagnosis and treatment policies for perforation.
