CASE REPORT   

Chirurgia 2022 February;35(1):55-60

DOI: 10.23736/S0394-9508.21.05260-8

Copyright © 2021 EDIZIONI MINERVA MEDICA

language: English

Multidisciplinary treatment of perforated duodenal diverticulum and postoperative stenosis of the papilla of Vater

Pietro CUMBO ¹ ✉, Gabriella CAVALOT ², Rodolfo ROCCA ³, Paolo FONIO ⁴, Cinzia ROTONDELLA ⁵, Andrea BREATTA DORIGUZZI ⁶, Mariangela AZZELLINO ⁷, Luca B. LO PICCOLO ⁷

¹ General Surgery Complex Structure, ASL TO5, Moncalieri, Turin, Italy; ² Radiology Complex Structure, ASL TO5, Turin, Italy; ³ Section of Gatroenterology, Hospital of the Mauritian Order, Turin, Italy; ⁴ Institute of Radiology Diagnostics and Intervention, University of Turin, Turin, Italy; ⁵ Department of Radiology, ASL TO5, Turin, Italy; ⁶ Department of Radiodiagnostica, University of Turin, Turin, Italy; ⁷ Department of General Surgery, University of Turin, Turin, Italy

Perforation of a duodenal diverticulum is a rare and serious complication. The clinical case deals with the case of a 74-year-old woman with onset of acute abdomen. Diagnosis of duodenal perforation is performed, treated with emergency surgery. With exploratory laparotomy, a para-vaterian duodenal diverticulum was revealed and its exeresis was performed. The postoperative course was characterized by the stenosis of the papilla of Vater, treated in a multidisciplinary way, with placement of biliary prosthesis in order to create a neo-papilla.

KEY WORDS: Diverticulum; Surgical procedures, operative; Prostheses and implants