Spontaneous Perforated Duodenal Diverticulum: Wait or Cut First?

Abstract

Perforation of a duodenal diverticulum is one of the rarest but most serious complications of duodenal diverticula. For the past 30 years, the mortality rate has remained at 6%. Though emergency surgery is the standard therapeutic option, it may increase morbidity and mortality due to surgical complications. Therefore, initial nonoperative management should be considered in selected older patients.