Pancreatic abscess complicating a perforated duodenal diverticulum

✍ Scribed by F. Wells

• Publisher: John Wiley and Sons
• Year: 1983
• Tongue: English
• Weight: 111 KB
• Volume: 70
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.1800700515

✦ Synopsis

Duodenal diverticula are not uncommon radiological findings, although they rarely give rise t o complications (1 -4).

Case report

with 48 h of generalized abdominal pain and vomiting following a large Ultrasound examination of the upper abdomen revealed an echogenic mass in the region of the head of the pancreas. Barium meal showed 2 duodenal diverticula and the duodenal loop appeared widened (Fig. 1). Percutaneous biopsy of the mass gained inflammatory transverse mescolon arising from the head of the pancreas. It was material. Frozen section histology of the capsule revealed inflammatory tissue. A Hegar's dilator passed easily from the centre of the cavity into the second part of the duodenum. The abscess cavity was cleaned and large drains inserted. Before closure, full antibiotic cover was instituted and continued for days.