Perforation of Duodenal Diverticulum: A Case Report of Duodenal Diverticularization Surgery
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- Higuchi Kyoko
- Department of Surgery, Nitobe Memorial Nakano General Hospital
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- Oono Ryo
- Department of Surgery, Nitobe Memorial Nakano General Hospital
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- Murase Hideaki
- Department of Surgery, Nitobe Memorial Nakano General Hospital
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- Yoshinouchi Satoshi
- Department of Surgery, Nitobe Memorial Nakano General Hospital
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- Yoshida Tsuyoshi
- Department of Surgery, Nitobe Memorial Nakano General Hospital
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- Ishihara Kei
- Department of Surgery, Nitobe Memorial Nakano General Hospital
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- Ootomo Mayuko
- Department of Surgery, Nitobe Memorial Nakano General Hospital
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- Kamiya Ayako
- Department of Surgery, Nitobe Memorial Nakano General Hospital
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- Obata Mitsuru
- Department of Surgery, Nitobe Memorial Nakano General Hospital
Bibliographic Information
- Other Title
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- 医原性十二指腸憩室穿孔に対し十二指腸憩室化手術を施行した1例
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Abstract
<p>The patient, an 83-year-old woman, visited another hospital with the complaint of hematemesis, and was diagnosed as having duodenal diverticular bleeding. She was transported to our hospital for further management, as the diverticulum perforated while she was undergoing endoscopic treatment. Abdominal computed tomography showed a hematoma and free gas around the perforation, which were thought to be caused by the perforated duodenal diverticulum, and emergency laparotomy was performed. Intraoperatively, hematoma, emphysema and inflammation were pronounced at the affected site. A perforated diverticulum was noted on the outside of the descending peduncle of the duodenum, which was resected at the site of the healthy intestinal wall using an automatic suture device.</p><p>At the same operation, the gallbladder was removed and a drainage tube was placed in the cystic duct. After distal gastrectomy and postcolonic Roux-Y reconstruction (duodenal diverticulum), a drainage tube was placed retrogradely in the duodenal stump. The operation time was 3 hours 11 minutes. The postoperative course of the patient was satisfactory and she was discharged 16 days after the surgery.</p>
Journal
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- Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons)
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Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons) 46 (5), 577-581, 2021
Japanese College of Surgeons
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Details 詳細情報について
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- CRID
- 1390012468139900928
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- ISSN
- 18829112
- 03857883
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
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- Abstract License Flag
- Disallowed