Yuri Sasaki, Jun Nakahodo, Tomoko Onishi, Ayu Tachibana, Ryogo Minami, Eriko Noma, Yoshiaki Moriguchi, Hiroki Tabata, Ryoko Shimizuguchi, Akinari Takao, Satomi Shibata, Kazuro Chiba, Takeo Arakawa, Toshiro Iizuka, Terumi Kamisawa
A 59-year-old woman presented with a chief complaint of melena. She had no abdominal findings, such as tenderness or tapping pain. Laboratory tests revealed a white blood cell count of 5,300 cells/μL and C-reactive protein level of 0.07 mg/dL. Inflammation and anemia (hemoglobin 12.4 g/dL) were denied. Contrast-enhanced computed tomography (CT) revealed multiple duodenal diverticula and air surrounding a descending duodenal diverticulum. Based on these findings, duodenal diverticular perforation (DDP) was suspected...
March 22, 2023: Internal Medicine