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CASE REPORT   

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

DOI: 10.23736/S0394-9508.21.05260-8

Copyright © 2021 EDIZIONI MINERVA MEDICA

lingua: Inglese

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

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