title: Endoscopic rendez-vous after damage control surgery in treatment of retroperitoneal abscess from perforated duodenal diverticulum: a techinal note and literature review.
abstract: BACKGROUND
  The duodenum is the second seat of onset of diverticula after the colon. Duodenal diverticulosis is usually asymptomatic, but duodenal perforation with abscess may occur.
  
  
  METHODS
  Woman, 83 years old, emergency hospitalised for generalized abdominal pain. On the abdominal tomography in the third portion of the duodenum a herniation and a concomitant full-thickness breach of the visceral wall was detected. The patient underwent emergency surgery. A surgical toilette of abscess was performed passing through the perforated diverticula and the Petzer's tube drainage was placed in the duodenal lumen; the duodenostomic Petzer was endoscopically removed 4 months after the surgery.
  
  
  CONCLUSIONS
  A review of medical literature was performed and our treatment has never been described.
  
  
  CONCLUSIONS
  For the treatment of perforated duodenal diverticula a sequential two-stage non resective approach is safe and feasible in selected cases.
authors.affiliation: General and Emergency Surgical Clinic. S. Maria Hospital, University of Perugia, Terni, Italy.
authors.forename: Ivan
authors.initials: I
authors.lastname: Barillaro
authors.affiliation: General and Emergency Surgical Clinic. S. Maria Hospital, University of Perugia, Terni, Italy ; General and Emergency Surgical Clinic. S. Maria Hospital, University of Perugia, Via Tristano di Joannuccio 1, Terni, Italy.
authors.forename: Veronica
authors.initials: V
authors.lastname: Grassi
authors.affiliation: General and Emergency Surgical Clinic. S. Maria Hospital, University of Perugia, Terni, Italy.
authors.forename: Angelo
authors.initials: A
authors.lastname: De Sol
authors.affiliation: General and Oncological Surgical Clinic. S. Maria della Misericordia, University of Perugia, Perugia, Italy.
authors.forename: Claudio
authors.initials: C
authors.lastname: Renzi
authors.affiliation: Urological Andrological Surgery and Minimally Invasive Techniques. S. Maria Hospital, University of Perugia, Terni, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Cochetti
authors.affiliation: Urological Andrological Surgery and Minimally Invasive Techniques. S. Maria Hospital, University of Perugia, Terni, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Barillaro
authors.affiliation: General and Oncological Surgical Clinic. S. Maria della Misericordia, University of Perugia, Perugia, Italy.
authors.forename: Alessia
authors.initials: A
authors.lastname: Corsi
authors.affiliation: General and Emergency Surgical Clinic. S. Maria Hospital, University of Perugia, Terni, Italy.
authors.forename: Alban
authors.initials: A
authors.lastname: Cacurri
authors.affiliation: General Surgical Clinic. S. Maria della Misericordia, Perugia, Italy.
authors.forename: Adolfo
authors.initials: A
authors.lastname: Petrina
authors.affiliation: Thoracic Surgery Unit. S. Maria della Misericordia, University of Perugia, Perugia, Italy.
authors.forename: Lucio
authors.initials: L
authors.lastname: Cagini
authors.affiliation: General and Oncological Surgical Clinic. S. Maria della Misericordia, University of Perugia, Perugia, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Boselli
authors.affiliation: General and Emergency Surgical Clinic. S. Maria Hospital, University of Perugia, Terni, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Cirocchi
authors.affiliation: General and Oncological Surgical Clinic. S. Maria della Misericordia, University of Perugia, Perugia, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Noya
keywords: Complications; Diverticula; Duodenum; Perforation; Surgical treatment