title: [Perforated duodenal diverticula. Case report and treatment options].
abstract: BACKGROUND
  the presence of duodenal diverticula was first described in 1710 by Chromel. Duodenal diverticulum is the second most common site of diverticula in the digestive tract. Anatomically duodenal diverticula are located in 10 to 67% in the second portion of duodenum, and its finding in most cases incidental. About 90% of patients appear asymptomatic, manifesting symptoms mostly once established complications such as: gastrointestinal bleeding and perforation.
  
  
  METHODS
  78-years-old woman who attended our Emergency department with dyspnea, moderate epigastralgia, abdominal bloating, constipation and difficulty to pass gas; Laparotomy was performed to identify duodenal diverticulum in the third portion of the duodenum with a perforation of 5 mm in its cupula. It proceeds with diverticulectomy.
  
  
  CONCLUSIONS
  The diagnosis of duodenal diverticulum as a cause of acute abdomen must be considered in our differential diagnosis in acute abdomen supported by imaging and endoscopy. The surgical management of duodenal diverticulum, in particular the resection of the diverticulum, remains as the recommendation for treatment with less morbidity and a good recovery.
authors: Servicio de Cirugía General. Departamento de Cirugía del Hospital Regional de Cd. Madero PEMEX, Mexico.
authors: Fernando
authors: F
authors: Guardado-Bermúdez
authors: Servicio de Cirugía General. Departamento de Cirugía del Hospital Regional de Cd. Madero PEMEX, Mexico.
authors: Fernando Josafat
authors: FJ
authors: Ardisson-Zamora
authors: Servicio de Cirugía General. Departamento de Cirugía del Hospital Regional de Cd. Madero PEMEX, Mexico.
authors: Juan Daniel
authors: JD
authors: Rojas-González
authors: Servicio de Cirugía General. Departamento de Cirugía del Hospital Regional de Cd. Madero PEMEX, Mexico. amedina_us@hotmail.com.
authors: Alberto
authors: A
authors: Medina-Benítez
authors: Servicio de Cirugía General. Departamento de Cirugía del Hospital Regional de Cd. Madero PEMEX, Mexico.
authors: Fernando
authors: F
authors: Corona-Suárez
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology; D000368:Aged; D003952:Diagnostic Imaging; D013505:Digestive System Surgical Procedures / Q000379:methods; D004240:Diverticulum / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D004378:Duodenal Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D004381:Duodenal Ulcer / Q000209:etiology; D004384:Duodenoscopy; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery; D007813:Laparotomy
keywords: abdomen agudo; acute abdomen; diverticula; divertículo