Duodenal diverticulitis: a difficult clinical problem
Houcine Maghrebi, Zoubeir Bensafta
The Pan African Medical Journal. 2017;27:286. doi:10.11604/pamj.2017.27.286.13509

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Duodenal diverticulitis: a difficult clinical problem

Cite this: The Pan African Medical Journal. 2017;27:286. doi:10.11604/pamj.2017.27.286.13509

Received: 01/08/2017 - Accepted: 13/08/2017 - Published: 23/08/2017

Key words: Duodenal diverticulum, surgery, radiology

© Houcine Maghrebi et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/27/286/full

Corresponding author: Houcine Maghrebi, Surgery Department A-Rabta Hospital Tunis, Tunisia (houcine.maghrebi@gmail.com)


Duodenal diverticulitis: a difficult clinical problem

Houcine Maghrebi1,&, Zoubeir Bensafta1

 

1Surgery Department A-Rabta Hospital Tunis, Tunisia

 

 

&Corresponding author
Houcine Maghrebi, Surgery Department A-Rabta Hospital Tunis, Tunisia

 

 

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A duodenal diverticulum is a pouch attached to the duodenum which may be present in 20% of the population. Although they are common entities, symptoms caused by duodenal diverticula are relatively rare and complications such as diverticulitis remain a difficult clinical problem. Nonoperative management has emerged as a safe, practical alternative to surgery in selected patient. We present a rare case of duodenal diverticulitis and its successful conservative management. A 57-year-old man was admitted to the Emergency Department with a 4-day history of epigastric and right upper quadrant pain. The patient claimed a six month history of abdominal pain and weight loss. Physical examination shows fever and tenderness of the epigastric and right upper quadrant. Laboratory tests revealed an elevated leukocyte count with normal liver tests, lipase level. Abdominal X-ray showed no intra-peritoneal free air. Computer tomography of the abdomen reveals an infected duodenal diverticulum with infiltration of neighboring fat. The patient was admitted to the acute care surgical service for a conservative management: nasogastric suction, bowel rest, intravenous antibiotic therapy, parenteral nutrition with a close clinical observation. The patient improved and was discharged on hospital day 10 without complications.

 

Figure 1: CT scan showing the duodenal diverticulitis

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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ISSN: 1937-8688. © 2017 - Pan African Medical Journal. All rights reserved