Howard S. Fan, BMed, MD, Michael L. Talbot, MB, ChB, FRACS VideoGIE

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Presentation transcript:

Successful management of perforated duodenal diverticulum by use of endoscopic drainage Howard S. Fan, BMed, MD, Michael L. Talbot, MB, ChB, FRACS VideoGIE Volume 2, Issue 2, Pages 29-31 (February 2017) DOI: 10.1016/j.vgie.2016.11.006 Copyright © 2017 The Authors Terms and Conditions

Figure 1 Computed tomography (axial view) showing a duodenal diverticular abscess in the second part of the duodenum as represented by the fluid and gas collection with localized inflammation (green arrow). VideoGIE 2017 2, 29-31DOI: (10.1016/j.vgie.2016.11.006) Copyright © 2017 The Authors Terms and Conditions

Figure 2 Endoscopic view of periampullary diverticulum (green arrow). VideoGIE 2017 2, 29-31DOI: (10.1016/j.vgie.2016.11.006) Copyright © 2017 The Authors Terms and Conditions

Figure 3 Endoscopic image showing the abscess draining internally into duodenum. VideoGIE 2017 2, 29-31DOI: (10.1016/j.vgie.2016.11.006) Copyright © 2017 The Authors Terms and Conditions

Figure 4 Endoscopic image showing a washout of the diverticulum with saline. VideoGIE 2017 2, 29-31DOI: (10.1016/j.vgie.2016.11.006) Copyright © 2017 The Authors Terms and Conditions

Figure 5 Endoscopic image showing a foreign body being removed from the diverticulum with a snare. VideoGIE 2017 2, 29-31DOI: (10.1016/j.vgie.2016.11.006) Copyright © 2017 The Authors Terms and Conditions

Figure 6 Endoscopic image showing a double pigtail stent being placed into the diverticulum along a guidewire. VideoGIE 2017 2, 29-31DOI: (10.1016/j.vgie.2016.11.006) Copyright © 2017 The Authors Terms and Conditions

Figure 7 Computed tomography (axial view) showing a drain in position with resolution of the collection in and around the duodenal diverticulum (green arrow). VideoGIE 2017 2, 29-31DOI: (10.1016/j.vgie.2016.11.006) Copyright © 2017 The Authors Terms and Conditions

Figure 8 Endoscopic view showing resolution of the diverticular abscess after removal of the double pigtail stent. VideoGIE 2017 2, 29-31DOI: (10.1016/j.vgie.2016.11.006) Copyright © 2017 The Authors Terms and Conditions