Divertículo duodenal perforado como causa de abdomen agudo quirúrgico / Perforated duodenal diverticulum as cause of surgical acute abdomen

La enfermedad diverticular duodenal es considerada en el ámbito de la cirugía de vías digestivas como inusual. Por su parte, la complicación menos frecuente referida en la literatura médica lo constituye la perforación aguda, y cuando esta ocurre siempre se practicará tratamiento quirúrgico de urgencia. Resulta polémico llegar a un consenso general que dirija la metodología diagnóstica, debido a su atípica forma de presentación. La tomografía abdominal ha resultado de gran utilidad en el diagnóstico de esta entidad. Se reportan tasas de mortalidad altas (25-30 por ciento) originadas, generalmente, por la dificultad diagnóstica frente a esta enfermedad. Se presenta un nuevo caso de divertículo duodenal perforado en una paciente, del sexo femenino, de 60 años de edad. La técnica quirúrgica empleada en esta oportunidad consistió en la exclusión duodenal y el drenaje del retroperitoneo(AU)

The duodenal diverticular disease is considered within surgery of digestive tracts as unusual. The less frequent complication referred in medical literature is the acute perforation and when it occurs always will be carried out the emergency surgical treatment. It is polemic to arrive to a general consensus directing the diagnostic methodology due to its atypical way of presentation. The abdominal tomography has been very useful in diagnosis of this entity. Authors report high mortality rates (25-30 percent) in general originated by the diagnostic difficulty in face of this disease. A new case of perforated duodenal diverticulum of a female sex patient aged 60. The surgical technique used in this opportunity was the duodenal exclusion and the retroperitoneal drainage(AU)

Gastric diverticulum: a case report

Gastric diverticulum is a rare condition. It is usually diagnosed incidentally because of its asymtomatic course. This report describes the case of a 77 years old patient with dyspeptic complaints for six years, for which gastroscopy was carried out. That revealed a gastric divirticulum for which she underwent diverticulectomy.During surgery she was found to have multiple diverticuli in the sigmoid colon. Hence in patients with vague gastric complaints, although rarely seen, gastric diverticulosis must be considered

Is diverticulopexy better than diverticulectomy in the treatment of Zenker's diverticulum?

Dez pacientes portadores de diverticulo de Zenker foram submetidos a diverticulopexia associada a miotomia do musculo cricofaringeo para tratamento dessa afeccao, entre o periodo de 1983 a 1992. A tecnica consiste na disseccao do diverticulo e ancoramento do mesmo a fascia pre-vertebral de modo a ficar invertido, o que impede o seu enchimento com a degluticao. A media de idade dos pacientes era de 78,8 anos e todos tinham o diagnostico de diverticulo confirmado pela historia clinica e pela radiografia contrastada do esofago. Os sintomas mais comuns eram disfagia e regurgitacao, que foram avaliados no pos-operatorio em todos os pacientes...

Diverticulos paravateriano: técnica quirúrgica / Paravaterian diverticula: surgical technique

Se realiza un estudio clinicoquirúrgico de los diverticulos paravaterianos, se revisan las diversas técnicas quirúrgicas para su tratamiento y se exponen la técnica practicada por nosotros