Mucosal repair of posterior perforation of duodenal diverticulitis using roux loop duodenojejunostomy.
Perforation of duodenal diverticulum is a rare occurrence but has a potentially fatal outcome. It is a difficult surgical problem because of delayed diagnosis and the attendant risk of duodenal fistula following primary repair. We present a case of posterior perforation of duodenal diverticulitis, diagnosed on computed tomography and successfully repaired with a Roux loop duodenojejunostomy. We also discuss the rare pathology, diagnosis and surgical options with special reference to this alternative form of mucosal repair.
Lee
Victor T W
VT
Department of General Surgery, Singapore General Hospital, Singapore.
Chung
Alexander Y F
AY
Soo
Khee-Chee
KC
D000368:Aged; D000713:Anastomosis, Roux-en-Y; D004238:Diverticulitis / Q000473:pathology / Q000601:surgery*; D004378:Duodenal Diseases / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007413:Intestinal Mucosa / Q000473:pathology / Q000601:surgery*; D007416:Intestinal Perforation / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed