2019 Volume 69 Issue 2 Pages 153-158
Duodenal diverticulum generally remains asymptomatic, and seldom perforates. We experienced three cases of perforated duodenal diverticulum. All cases presented complaining of abdominal pain and CT findings consistent with perforated duodenal diverticulum. We performed diverticulectomy and duodenal decompression with gastric catheter by the Witzel maneuver to the first with second cases. The third case was managed conservatively, combining antibiotics and decompression of the duodenum. Since the perforation site was the a periampullary diverticulum, we decided surgical treatment would be excessive.
Although treatment strategies of perforated duodenal diverticulum are controversial, surgical treatment is more common. Currently, some cases have suggested that definite CT diagnosis and prompt treatment enable conservative treatment in some cases. We report three cases of perforated duodenal diverticulum, along with a review of the literature.
