Surgical treatment of complications of duodenal diverticulosis

Czech version

Authors: P. Křenovský
Authors‘ workplace: Chirurgické oddělení, Městská nemocnice, a. s., Dvůr Králové nad Labem
Published in: Rozhl. Chir., 2025, roč. 104, č. 3, s. 122-126.
Category: Case Report
doi: https://doi.org/10.48095/ccrvch2025122

Overview

The duodenum is the second most common diverticula origin after the colon. 1–5% of duodenal diverticula develop complications, such as inflammation, perforation, or bleeding. The key points in the diagnosis of complications of duodenal diverticulosis are a good medical history, often with reference to upper endoscopy, CT scan, and a generally altered patient condition with a poor physical examination of the abdomen. Treatment of the complications of duodenal diverticulosis is conservative, endoscopic and surgical. Due to the high lethality of undiagnosed complications, an energetic approach is essential, especially in the case of perforation events. The patient clearly benefits from the procedure performed within 12 hours of the start of the clinical symptoms. The text presents a general overview of duodenal diverticulosis and the issue is documented on two case reports of the complications of duodenal diverticulosis from 2022 from our surgical department.

Keywords:

bleeding – perforation – duodenal diverticulosis

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MUDr. Pavel Křenovský

Chirurgické oddělení

Městská nemocnice, a.s.

Vrchlického 1504

544 01 Dvůr Králové nad Labem

p.krenovsky@gmail.com