PMC5061311_01
CT scan evidencing a perforation of duodenum diverticulum with retroperitoneal free air and fluid retention.
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The perforated duodenal diverticulum (DD) of second portion of duodenum (D2) was identified after warm N/S irrigation and Kocher maneuver. The perforated duodenal diverticulum was grasped carefully and peridiverticular space dissected circumferentially. The Endo-GIA stapler was inserted and fired, then the resected diverticulum was removed. (IVC: inferior vena cava, GB: Gallbladder, L: Liver).
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The endostapler (Ethicon) blue of 45 mm was inserted through a 12-mm trocar and was directed toward the neck of diverticulum. (Fig. 2) The stapler was fired and the perforated duodenal diverticulum was resected and removed out of the abdomen.
Surgical specimen. Four trocar sites and two surgical drains were inserted.
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