Management of a perforated duodenal diverticulum using an endoscopic nasobiliary drainage tube:a case report

A man in his 70s visited our hospital for abdominal pain. Upon admission, abdominal computed tomography findings suggested a duodenal diverticular perforation. Upper gastrointestinal endoscopy revealed an incarcerated enterolith in the periampullary diverticulum. We achieved conservative management...

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Bibliographic Details
Published inNippon Shōkakibyō Gakkai zasshi Vol. 119; no. 1; p. 47
Main Authors Kawano, Shingo, Tsuchiya, Yuki, Motegi, Shunsuke, Sugimoto, Kiichi, Inami, Yoshihiro, Asaoka, Daisuke, Ishibiki, Yoshiro, Iwanuma, Yoshimi, Sakamoto, Kazuhiro, Fukunaga, Masaki
Format Journal Article
LanguageJapanese
Published Japan 2022
Subjects
Diverticulum - complications
Diverticulum - diagnostic imaging
Diverticulum - surgery
Drainage
Duodenal Diseases - diagnostic imaging
Duodenal Diseases - etiology
Duodenal Diseases - surgery
Duodenal Ulcer
Humans
Intestinal Perforation - diagnostic imaging
Intestinal Perforation - etiology
Intestinal Perforation - surgery
Male
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Summary:A man in his 70s visited our hospital for abdominal pain. Upon admission, abdominal computed tomography findings suggested a duodenal diverticular perforation. Upper gastrointestinal endoscopy revealed an incarcerated enterolith in the periampullary diverticulum. We achieved conservative management by inserting an endoscopic nasobiliary drainage tube into the duodenal diverticulum to aid drainage. The patient was discharged without serious complications 35 days after admission. We report a case of duodenal diverticular perforation with an incarcerated enterolith managed conservatively using endoscopic therapy.
ISSN:0446-6586
DOI:10.11405/nisshoshi.119.47