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Case Reports 2018
Medical Case Reports
ISSN: 2471-8041
Page 70
May 28-29, 2018
London, UK
8
th
Edition of International Conference on
Clinical and Medical Case Reports
B
owel diverticulosis presents in >10% among patients in the
5th to 6th decades of life. Mostly are asymptomatic and
>95% are found in the colon. The duodenum is the next common
area predisposed to diverticula formation, which is existent
in 1-5% of cases. Only a minority of such cases present with
symptoms and would require surgical intervention. Our case is
of an 81 year old female who presented with chronic bouts of
epigastric pain for the past decade, with increasing recurrence
three weeks prior to admission. Whole abdominal CT scan with
contrast showed colonic diverticulitis, and was treated as such.
She was discharged accordingly. However, due to recurrence of
aforementioned epigastric pain, she was readmitted and upper
GI endoscopy revealed a duodenal diverticula. She was medically
cleared and underwent laparoscopic diverticulectomy via
wedge resection using endoscopic GI staplers for the duodenal
diverticulum, for which she tolerated well. Duodenal diverticula
rarely present with symptoms and their mere presence is not an
indication for surgery. However, if major complications present
or if symptoms are refractory to medical management, surgical
intervention can be considered, whether via open or laparoscopic
technique. Laparoscopic technique has been exhibited to be a
safe and feasible option for the surgical management of duodenal
diverticula.
jm.canlasmd@gmail.comChronic epigastric pain presenting in a case of duodenal
diverticulum: a case report
Med Case Rep. 2018, Volume 4
DOI: 10.21767/2471-8084-C1-003
Jay Mark D Canlas
Mary Johnston Hospital, Philippines