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Article
October 1960

Perforation and Abscess of a Duodenal DiverticulumA Case Report

Author Affiliations

Marysville, Ohio
Instructor in Surgery, Ohio State University College of Medicine (Dr. Sampsel). From The Memorial Hospital of Union County, Marysville (Dr. Zaugg).

Arch Surg. 1960;81(4):542-544. doi:10.1001/archsurg.1960.01300040026005
Abstract

Complications of duodenal diverticula are rare, and perforation has previously been described in only 11 patients.1 This case is presented to emphasize several unique clinical and anatomical aspects of this ordinarily asymptomatic anomaly.

Report of Case 

History.  —The patient was a 29-year-old white girl admitted to the hospital on June 25, 1957. Three days before admission she developed fever and a steady ache in the epigastrium and right upper quadrant. She also had general malaise and vomiting. The latter was associated with some relief of pain, but the steady ache in the right upper quadrant continued. An attack of right upper quadrant pain had occurred three months before this episode, but it lasted only a few days and subsided spontaneously. One parent and several other relatives had had gallbladder disease.

Physical Examination.  —The patient was apprehensive and had dry, pale skin. Temperature was 100 F, pulse 96, respirations 24,

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