Perforating Duodenal Diverticulitis

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Abstract
Duodenal diverticula are not rare. With the exception of the colon, the duodenum is the most common site of enteric diverticula.1,2Duodenal diverticula occur in about 1% to 2% of the human population,2,3but seldom become symptomatic.4,5Of those who do develop symptoms, only 1% to 5% require surgery.4-7Symptomatic cases usually are associated with other gastrointestinal disease which must be eliminated as the cause of symptoms.2,5,8 Surgeons are becoming more aware of the serious complications associated with duodenal diverticula.9Of all the complications, perforation is the most serious.1,10and, fortunately, the rarest.11Perforation due to enteroliths is the rarest of all.11It is even rarer to make the preoperative x-ray diagnosis of a perforation; therefore, most perforations have been accidentally found at laparotomy for associated acute gastrointestinal disease. Difficulties in preoperative x-ray diagnosis of perforation are due, in part, to

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