Perforated duodenal diverticulum, a rare complication of a common pathology: A seven-patient case series

Table 1 Results of population characteristics and clinical presentation

Case	Age (yr)	ASA	Symptoms	Shock	Diagnosis	Perforation localization	Follow-up
1	91	3	RUQ acute pain, nausea and vomiting	No	Surgery	D2	Alive at present after 12 yr
2	68	4	Epigastria acute pain, septic shock	Yes	Surgery	D2	Died
3	83	3	RUQ acute pain, nausea and vomiting	No	CT scan	D2	Lost after 5 yr of follow-up
4	78	3	Epigastria acute pain, nausea and vomiting	No	Surgery	D2	Lost after 5 yr of follow-up
5	76	3	Bilateral basithoracic pain	No	CT scan	D2	Lost after 9 yr of follow-up
6	65	3	Epigastria and RUQ acute pain, nausea and vomiting	No	Surgery	D2	Alive after 1 yr of follow-up
7	48	3	RUQ pain irradiating to the back	No	CT scan	D3	Alive after 2 yr of follow-up

ASA: American Society of Anesthesiologists’ score; CT: Computed tomography; RUQ: Right upperquadrant.

Table 2 Results of treatment

Case	Localization	Treatment	Morbidity-mortality	Hospital stay (d)
1	D2	Excision, direct duodenal suture and nutritional jejunostomy		26
2	D2	Drain and laparostomy	Died (cardiac comorbidity)	1
3	D2	Excision, direct duodenal suture and nutritional jejunostomy		18
4	D2	Excision and direct duodenal suture	Conservatively treated suture leak on POD day 5	30
5	D2	Gastric tube and antibiotics therapy		16
6	D2	Excision and direct duodenal suture		15
7	D3	Excision, direct duodenal suture, nutritional jejunostomy and bilio-duodenal drain		22

POD: Post-operative day.