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

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Presentation on theme: "Howard S. Fan, BMed, MD, Michael L. Talbot, MB, ChB, FRACS  VideoGIE "— Presentation transcript:

1 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 (February 2017) DOI: /j.vgie Copyright © 2017 The Authors Terms and Conditions

2 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: ( /j.vgie ) Copyright © 2017 The Authors Terms and Conditions

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

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

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

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

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

8 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: ( /j.vgie ) Copyright © 2017 The Authors Terms and Conditions

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


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