[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-432939-105":59,"doc-detail-432939-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","hemodynamic-collapse-and-hidden-pathology-a-case-of-perforated-duodenal-diverticulum-identified-during-trauma-laparotomy","Hemodynamic Collapse and Hidden Pathology - A Case of Perforated Duodenal Diverticulum Identified During Trauma Laparotomy","","Duodenal diverticula are rare extraluminal sac-like protrusions, and perforation is a life-threatening but uncommon complication, especially after blunt abdominal trauma. This case describes an 82-year-old woman struck by a motor vehicle, who arrived hemodynamically unstable with perforation of a duodenal diverticulum. Emergent exploratory laparotomy enabled a stapled diverticulectomy. The report emphasizes diagnostic and management challenges and the need for flexible, timely surgical intervention when preoperative imaging is unavailable.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/hemodynamic-collapse-and-hidden-pathology-a-case-of-perforated-duodenal-diverticulum-identified-during-trauma-laparotomy/432939/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/hemodynamic-collapse-and-hidden-pathology-a-case-of-perforated-duodenal-diverticulum-identified-during-trauma-laparotomy/432939.png","ImageObject",300,407,{"name":92,"@type":93},"pop out","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why is traumatic perforation of duodenal diverticula particularly challenging to diagnose?","Question",{"text":112,"@type":113},"The article emphasizes that traumatic perforation following blunt abdominal trauma is exceedingly rare, making accurate diagnosis difficult in the acute setting.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What intervention was performed for the unstable patient in the case?",{"text":117,"@type":113},"The patient underwent emergent exploratory laparotomy, during which a stapled diverticulectomy was performed.",{"name":119,"@type":110,"acceptedAnswer":120},"How does the report highlight the role of imaging in management decisions?",{"text":121,"@type":113},"It underscores the importance of flexible and timely surgical intervention, particularly when preoperative imaging is unavailable.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},432939,1791146069,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},962090760408,"https://ap-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","Received 09/24/2025  \nReview began 10/10/2025  \nReview ended 11/26/2025  \nPublished 12/05/2025  \n© Copyright 2025  \nWallace et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0. , which permits unrestricted use , distribution , and reproduction in any medium , provided the original author and source are credited.  \nDOI: 10.7759/cureus.98518  \nOpen Access Case Report  \nPublished via Lake Erie College of Osteopathic Medicine (LECOM)  \nHemodynamic Collapse and Hidden Pathology: A Case of Perforated Duodenal Diverticulum Identified During Trauma Laparotomy  \nBryan A. Wallace 1, 2, Jillian Lane 3 , Victoria M. Estevez 4 , Daniel Shlyak 5, 6, Angela Jones 7, 8, 1  \n1. General Surgery, Delray Medical Center, Delray Beach, USA 2. Medicine, St. George 's University School of Medicine, True Blue, GRD 3. Trauma Surgery, St. George 's University School of Medicine, Delray Beach, USA 4. Trauma Surgery, LECOM (Lake Erie College of Osteopathic Medicine) Bradenton, Delray Beach, USA 5. Anesthesiology, Larkin Community Hospital, South Miami, USA 6. General Surgery, Larkin Community Hospital, South Miami, USA 7. Trauma Surgery, Delray Medical Center, Delray Beach, USA 8. Critical Care, Delray Medical Center, Delray Beach, USA  \nCorresponding author: Victoria M. Estevez, [vestevez57222@med.lecom.edu](vestevez57222@med.lecom.edu)  \nAbstract  \nDuodenal diverticula are rare extraluminal sac-like protrusions of the duodenal wall. Perforation of the diverticula is a life-threatening but uncommon complication, particularly following blunt abdominal trauma. We present the case of an 82-year-old woman who sustained blunt abdominal trauma after being struck by a motor vehicle, resulting in perforation of a duodenal diverticulum. She was hemodynamically unstable on arrival, necessitating emergent exploratory laparotomy during which a stapled diverticulectomy was performed. This case highlights the rarity of traumatic perforation of duodenal diverticula and the challenges of diagnosing and managing such injuries in the acute setting. It also underscores the importance of flexible and timely surgical intervention, particularly when preoperative imaging is unavailable.  \nCategories: General Surgery, Trauma, Gastroenterology  \nKeywords: abdominal blunt trauma, duodenal diverticulum, emergency exploratory laparotomy, perforation, trauma  \nIntroduction  \nDuodenal diverticula are extraluminal sac-like protrusions of the duodenal wall [1] . They are broadly categorized as either congenital (true diverticula), which contain all layers of the intestinal wall-mucosa, submucosa, muscularis propria, and serosa-or acquired (false or pseudodiverticula), which consist only of mucosa and submucosa and lack the muscularis propria layer [2] . False diverticula occur most frequently in the colon, with the duodenum being the second most common site [3] . The exact cause of an acquired duodenal diverticulum (DD) remains unclear. Still, it is thought to result from abnormalities in peristalsis (synchronized contractions used to propel contents through the gastrointestinal tract) and elevated segmental intraluminal pressures [2] . Duodenal diverticula are present in approximately 5-10% of the population, most often arising on the medial wall of the second portion of the duodenum, near the ampulla of Vater [4] . While 95% of cases are asymptomatic, these diverticula can occasionally cause complications such as hemorrhage, biliary obstruction, inflammation, and most critically, perforation [4,5] . Duodenal perforation is a life-threatening event with high morbidity and mortality [6] . Approximately 162 cases of perforated duodenal diverticula have been reported in the literature [5] . Most reported cases of rupture occur spontaneously or result from iatrogenic injury during procedures such as endoscopic retrograde cholangiopancreatography (ERCP) [5], whereas traumatic perforation following blunt abdominal trauma is","cbCaiuev0rV1WscZ","https://ap.wps.com/l/cbCaiuev0rV1WscZ","pdf",972281,"English","# Abstract\n# Introduction\n# Case Presentation","[{\"question\":\"Why is traumatic perforation of duodenal diverticula particularly challenging to diagnose?\",\"answer\":\"The article emphasizes that traumatic perforation following blunt abdominal trauma is exceedingly rare, making accurate diagnosis difficult in the acute setting.\"},{\"question\":\"What intervention was performed for the unstable patient in the case?\",\"answer\":\"The patient underwent emergent exploratory laparotomy, during which a stapled diverticulectomy was performed.\"},{\"question\":\"How does the report highlight the role of imaging in management decisions?\",\"answer\":\"It underscores the importance of flexible and timely surgical intervention, particularly when preoperative imaging is unavailable.\"}]","Hemodynamic Collapse and Hidden Pathology - A Case of Perforated Duodenal Diverticulum Identified During Trauma Laparotomy | PDF",1790661995,13]