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May 1970

Enteroliths and Perforation of Duodenal Diverticula

Author Affiliations

Portsmouth, NH
From the Department of Surgery, Portsmouth Hospital, Portsmouth, NH.

Arch Surg. 1970;100(5):614-618. doi:10.1001/archsurg.1970.01340230080020

Complications of duodenal diverticula are infrequent, two of the rarest being perforation and the presence of a stone. This is the third report of the simultaneous occurrence of these entities.1,2

Report of a Case  A 51-year-old housewife entered the Portsmouth Hospital on Jan 28, 1968, with severe right-sided abdominal pain which had begun suddenly a few hours before admission. The pain was associated with vomiting, chills, and a sweaty feeling. Past history was essentially noncontributory, and prior gastrointestinal history was negative. Physical examination results revealed an acutely ill female lying very still. Temperature was 100.4 F (38 C); pulse rate, 108 beats per minute; respirations, 22; and weight, 54.7 kg (121 lb). The remainder of the examination results was essentially normal except for the abdomen, where there was marked tenderness and spasm over the entire right side with rebound tenderness. Mild distension was present, and peristalsis was hypoactive.Laboratory

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