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      Diverticulite duodénale: complication inhabituelle pas toujours facile à gérer Translated title: Duodenal diverticulitis: unusual complication not always easy to manage

      case-report

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          Abstract

          Les diverticules duodénaux sont assez fréquents, la majorité reste asymptomatique. Les complications les plus fréquemment rapportées sont les hémorragies et les pancréatites. Contrairement aux diverticules coliques, la survenue de diverticulite est rare. Nous rapportons le cas d'une infection d'un gros diverticule duodénal en mettant le point sur la difficulté de la prise en charge de cette entité pathologique.

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          Complicated small-bowel diverticulosis: a case report and review of the literature.

          Johann P Hauss, Michael J. Harms, Woubet Kassahun … (2007)
          While jejunoileal diverticula are rare and often asymptomatic, they may lead to chronic non-specific or acute symptoms. The large majority of complications present with an acute abdomen similar to appendicitis, cholecystitis or colonic diverticulitis but they also may appear with atypical symptoms. As a result, diagnosis of complicated jejunoileal diverticulosis can be quite difficult, and may solely depend on the result of surgical exploration. In the absence of contra-indications, diagnostic laparoscopy has the benefit of thorough examination of the abdominal contents and helps to reach an absolute diagnosis. Surgical resection of the involved small-bowel segment with primary anastomosis is the preferred treatment in patients with symptomatic complicated jejunoileal diverticular disease. An atypical presentation of complicated jejunal diverticulitis in conjunction with sigmoid diverticulitis diagnosed with laparoscopy and treated with surgical resection is presented.
          Article 0 comments Cited 36 times – based on 0 reviews     Review now
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            The perforated duodenal diverticulum.

            Chad M. Thorson (2012)
            To perform a literature review of perforated duodenal diverticulum with attention to changes in management. We searched PubMed for relevant studies published from January 1, 1989, through August 1, 2011. In addition, we identified and reviewed 4 cases at our institution. Search phrases were perforated duodenal diverticulum and duodenal diverticulitis. Patient demographics, clinical characteristics, radiologic findings, treatment, and outcomes were obtained. We reviewed 39 studies producing 57 cases, which were combined with the 4 at our institution for a total of 61 patients. The addition of 2 previous series revealed a total of 162 patients in the world literature. Perforations were most commonly located in the second or third portion of the duodenum (60 of 61 cases [98%]), and the most frequent cause was diverticulitis (42 of 61 [69%]). There has been a dramatic improvement in the preoperative diagnosis of perforated diverticula. Only 13 of 101 reported cases (13%) were correctly diagnosed before 1989, and 29 of 61 (48%) in the present series were identified with radiologic examinations. Most patients in the current series (47 of 61) underwent operative treatment for their perforation, although 14 underwent successful nonoperative management. Complications were reported in 17 of 47 patients in the surgical group (36%), whereas only 1 complication was seen in patients undergoing nonoperative management. Mortality in the surgical group was 6% (3 of 47), and no deaths were reported in the nonoperative group. Perforation of a duodenal diverticulum is rare, with only 162 cases reported in the world literature. Nonoperative management has emerged as a safe, practical alternative to surgery in selected patents.
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              Conservative management of perforated duodenal diverticulum: a case report and review of the literature.

              Eva Torres, Javier Padillo, Pedro Pablo Lopez-Casas … (2008)
              Duodenal diverticula are a relatively common condition. They are asymptomatic, unless they become complicated, with perforation being the rarest but most severe complication. Surgical treatment is the most frequently performed approach. We report the case of a patient with a perforated duodenal diverticulum, which was diagnosed early and treated conservatively with antibiotics and percutaneous drainage of secondary retroperitoneal abscesses. We suggest this method could be an acceptable option for the management of similar cases, provided that the patient is in good general condition and without septic signs.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Pan Afr Med J
                Journal ID (iso-abbrev): Pan Afr Med J
                Journal ID (publisher-id): PAMJ
                Title: The Pan African Medical Journal
                Publisher: The African Field Epidemiology Network
                ISSN (Electronic): 1937-8688
                Publication date (Electronic): 19 November 2015
                Publication date Collection: 2015
                Volume: 22
                Electronic Location Identifier: 259
                Affiliations
                [1 ]Service de Chirurgie Viscérale I, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
                Author notes
                [& ]Corresponding author: Abderrahman Elhjouji, Service de Chirurgie Viscérale I, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
                Article
                Publisher ID: PAMJ-22-259
                DOI: 10.11604/pamj.2015.22.259.7784
                PMC ID: 4764320
                PubMed ID: 26958122
                SO-VID: b6f21bca-f07d-4746-a2b4-cb6527e9b98b
                Copyright © © Abderrahman Elhjouji et al.
                License:

                The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 22 August 2015
                Date accepted : 01 October 2015
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Medicine
                Keywords: diverticule,duodénum,infection,diverticulum,duodenum
                Data availability:
                ScienceOpen disciplines: Medicine
                Keywords: diverticule, duodénum, infection, diverticulum, duodenum

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