Cavanagh J E
Department of Surgery, Tallahassee Memorial Regional Medical Center, Fla., USA.
Can J Surg. 1996 Aug;39(4):336-8.
The author reports a case of iatrogenic perforation of a duodenal diverticulum, an extremely rare occurrence, during percutaneous radiologic extraction of a retained common-bile-duct-stone. Perforation was related to the perivaterian location of the duodenal diverticulum. Because an inflammatory reactions was present, tube duodenostomy was chosen over excision, closure and drainage to prevent the complication of lateral duodenal fistula and sepsis. Whenever iatrogenic duodenal perforation is suspected, prompt radiologic documentation and early surgical consultation should be sought.
作者报告了1例在经皮放射学取出胆总管残留结石过程中发生医源性十二指肠憩室穿孔的病例，这是一种极其罕见的情况。穿孔与十二指肠憩室位于 Vater 壶腹周围有关。由于存在炎症反应，选择了十二指肠造瘘术而非切除、缝合和引流，以预防十二指肠侧瘘和败血症的并发症。一旦怀疑有医源性十二指肠穿孔，应迅速进行放射学记录并尽早寻求外科会诊。
