Perrott C A
S Afr J Surg. 1989 Mar;27(1):24-5.
Although duodenal diverticula are often seen on radiography and regarded as being 'incidental', perforations frequently lead to significant mortality and morbidity. The pre-operative diagnosis is often missed or delayed and intra-operative diagnosis requires a high index of suspicion. A case of missed diagnosis is presented, and intra-operative indicators of perforation and treatment suggested.
尽管十二指肠憩室在影像学检查中经常可见且被视为“偶然发现”,但其穿孔常导致显著的死亡率和发病率。术前诊断常常被漏诊或延误,术中诊断需要高度的怀疑指数。本文介绍了一例漏诊病例,并提出了穿孔的术中指标及治疗方法。