PMC7559533_01
CT scan showing deformed duodenal bulb and pneumoperitoneum.
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During laparotomy the stomach, pylorus, duodenum and duodenal diverticulum were identified with the perforation being witnessed as shown.
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Examining the duodenum, inflammation was found, with dissection and performing Kocher maneuver we were able to identify a duodenal diverticulum at the D2 level at the antero-medial aspect as shown in (Fig. 2).
Shows the duodenum after resection of the diverticulum and over-sewing.
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We did Kocher maneuver to better manipulate the duodenum and resection of the diverticulum was carried out using GIA (Gasrto-Intestinal Anastomosis) linear stapler of 4.8 x 60 mm dimensions and over-sewing was carried out as shown in Fig. 3.
an upper GI series on post-operative day 5 showing the duodenum ruling out leakage or stenosis.
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Post-operative period was uneventful and the patient was followed up with an upper GI series on post-operative day 5 as shown in Fig. 4 and discharged home on day 10 post operation.