Journal of Emergencies, Trauma, and Shock
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INJURY AND INTERVENTIONS
Year : 2010  |  Volume : 3  |  Issue : 1  |  Page : 79-81

Isolated perforation of a duodenal diverticulum following blunt abdominal trauma


Department of Surgery, Barnet Hospital, Barnet and Chase Farm NHS Trust, Wellhouse Lane, Barnet Herts EN5 3DJ, United Kingdom

Correspondence Address:
Matthew J Metcalfe
Department of Surgery, Barnet Hospital, Barnet and Chase Farm NHS Trust, Wellhouse Lane, Barnet Herts EN5 3DJ
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2700.58656

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Only 10% of duodenal diverticula are symptomatic. We present the case of a man who fell from a height of 6 ft, landing on his abdomen and presenting 4 h later with severe back pain and a rigid abdomen. At laparotomy, a perforated retroperitoneal duodenal diverticulum was found and repaired with an omental patch. No other injury was noted. Not only is this perforation unusual, but the absence of other injuries sustained during this minor blunt trauma makes this case unique. This case highlights the need for a high index of suspicion when managing patients with back or abdominal pain following minor trauma.


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