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Perforated duodenal diverticulum: a rare complication in a common condition
  1. Cláudio Branco,
  2. Teresa Carneiro,
  3. Dina Luis,
  4. António Gomes
  1. Hospital de Braga, Braga, Portugal
  1. Correspondence to Dr Cláudio Branco, branco.cgp{at}


The authors present a rare case of perforated duodenal diverticulum diagnosed in an 80-year-old Caucasian woman with vomiting and abdominal pain localised to the epigastrium. CT scan showed thickening of the second portion of the duodenum with retroperitoneal fat stranding and perihepatic free fluid, with a presumptive diagnosis of a duodenal perforation. A laparotomy was performed which showed a perforated diverticulum in the second portion of the duodenum. A diverticulectomy with single-layer closure was performed, without complications. The postoperative course was uneventful.

  • gastrointestinal surgery
  • general surgery

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  • Contributors CB, writing of the manuscript. TC, selection of data, managed the case, final revision. DL and AG, managed the case, final revision.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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