Branco Cláudio, Carneiro Teresa, Luis Dina, Gomes António
Hospital de Braga, Braga, Portugal.
BMJ Case Rep. 2017 Jun 24;2017:bcr-2017-219881. doi: 10.1136/bcr-2017-219881.
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.
作者报告了一例罕见的十二指肠憩室穿孔病例，患者为一名80岁的白种女性，有呕吐症状，上腹部疼痛。CT扫描显示十二指肠第二部增厚，腹膜后脂肪条索状改变及肝周游离液体，初步诊断为十二指肠穿孔。进行了剖腹手术，发现十二指肠第二部有一个穿孔的憩室。实施了憩室切除术并单层缝合，无并发症。术后病程平稳。
