A Tale of 2 Tics: Endoscopic Treatment of Perforated Periampullary Diverticulum Within a Giant Duodenal Diverticulum

Authors

Suchapa Arayakarnkul
Ekin Inal
Amit Mehta
Saowanee Ngamruengphong

Publication Date

11-1-2023

Journal

ACG Case Reports Journal

Abstract

Periampullary diverticulum presenting with severe complications, such as perforations, is associated with high morbidity and mortality. Traditionally, only surgical or conservative management has been warranted. In this case, we present a 76-year-old woman with a spontaneously perforated periampullary diverticulum, located within a larger duodenal diverticulum, who achieved complete recovery with endoscopic closure after an initial unsuccessful attempt at surgical management. This case report highlights the role of endoscopy in the treatment of complicated diverticulum perforation.

Keywords

duodenal diverticulum, endoscopic closure, perforated diverticulum, periampullary diverticulum