| Conservative management of perforated duodenal diverticulum： A case report and review of the literature |
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| 作者姓名： | Martinez-Cecilia D Arjona-Sanchez A Gomez-Alvarez M Torres-Tordera E Luque-Molina A Valenti-Azcarate V Briceno-Delgado J Padillo FJ Lopez-Cillero P Rufian-Pena S |
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| 作者单位： | David Martínez-Cecilia（Hospital Universitario Reina Sofia, Av. Menendez Pidal, sn. 14005. Cordoba,Spain） ;
Alvaro Arjona-Sánchez（Hospital Universitario Reina Sofia, Av. Menendez Pidal, sn. 14005. Cordoba,Spain） ;
Manuel Gómez-(A)lvarez（Hospital Universitario Reina Sofia, Av. Menendez Pidal, sn. 14005. Cordoba,Spain） ;
Eva Torres-Tordera（Hospital Universitario Reina Sofia, Av. Menendez Pidal, sn. 14005. Cordoba,Spain） ;
Antonio Luque-Molina（Hospital Universitario Reina Sofia, Av. Menendez Pidal, sn. 14005. Cordoba,Spain） ;
Victor Valentí-Azcárate（Clinica Universitaria de Navarra, Avenida de Pio XII 36, Pamplona 31008, Spain） ;
Javier Brice(n)o-Delgado（Hospital Universitario Reina Sofia, Av. Menendez Pidal, sn. 14005. Cordoba,Spain） ;
Francisco-Javier Padillo（Hospital Universitario Reina Sofia, Av. Menendez Pidal, sn. 14005. Cordoba,Spain） ;
Pedro López-Cillero（Hospital Universitario Reina Sofia, Av. Menendez Pidal, sn. 14005. Cordoba,Spain） ;
Sebástian Rufián-Pe(n)a（Hospital Universitario Reina Sofia, Av. Menendez Pidal, sn. 14005. Cordoba,Spain） ; |
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| 摘 要： | Duodenal diverticula are a relatively common condition. They are asymptomatic, unless they become complicated, with perforation being the rarest but most severe complication. Surgical treatment is the most frequently performed approach. We report the case of a patient with a perforated duodenal diverticulum, which was diagnosed early and treated conservatively with antibiotics and percutaneous drainage of secondary retroperitoneal abscesses. We suggest this method could be an acceptable option for the management of similar cases, provided that the patient is in good general condition and without septic signs.
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| 关 键 词： | 十二指肠 憩室 穿孔 保守治疗 |
| 收稿时间： | 2007 Jul 19 |
Conservative management of perforated duodenal diverticulum: a case report and review of the literature |
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| Martinez-Cecilia D,Arjona-Sanchez A,Gomez-Alvarez M,Torres-Tordera E,Luque-Molina A,Valenti-Azcarate V,Briceno-Delgado J,Padillo FJ,Lopez-Cillero P,Rufian-Pena S.Conservative management of perforated duodenal diverticulum: a case report and review of the literature[J].World Journal of Gastroenterology,2008,14(12):1949-1951. |
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| Authors: | Martinez-Cecilia David Arjona-Sanchez Alvaro Gomez-Alvarez Manuel Torres-Tordera Eva Luque-Molina Antonio Valenti-Azcarate Victor Briceno-Delgado Javier Padillo Francisco-Javier Lopez-Cillero Pedro Rufian-Pena Sebastian |
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| Institution: | 1. Hospital Universitario Reina Sofia, Av. Menendez Pidal, sn. 14005. Cordoba,Spain
2. Clinica Universitaria de Navarra, Avenida de Pio XII 36, Pamplona 31008, Spain |
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| Abstract: | Duodenal diverticula are a relatively common condition.They are asymptomatic, unless they become complicated, with perforation being the rarest but most severe complication. Surgical treatment is the most frequently performed approach. We report the case of a patient with a perforated duodenal diverticulum, which was diagnosed early and treated conservatively with antibiotics and percutaneous drainage of secondary retroperitoneal abscesses. We suggest this method could be an acceptable option for the management of similar cases, provided that the patient is in good general condition and without septic signs. |
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| Keywords: | Duodenal diverticula Perforation Conservative management diverticulum perforated management Conservative literature review provided good general method option similar cases early antibiotics percutaneous drainage secondary report patient |
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