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Fig. 2 | Surgical Case Reports

Fig. 2

From: Perforated duodenal diverticulum successfully treated with a combination of surgical drainage and endoscopic nasobiliary and nasopancreatic drainage: a case report

Fig. 2

a The scheme of the treatment strategy. Four indwelling tubes (â‘  abscess space, â‘¡ foramen of Winslow, â‘¢ abscess space, and â‘£ horizontal part of the duodenum) were placed intraoperatively. Furthermore, endoscopic nasobiliary drainage (ENBD) and nasopancreatic drainage (ENPD) tubes were placed on postoperative day (POD) 2. b The picture after endoscopic retrograde cholangiopancreatography (ERCP) on POD 2. Yellow arrowheads show the placement of four indwelling tubes. c The picture of contrast radiography on POD 20, which revealed a fistula between the abscess space and the duodenal diverticulum (yellow arrow). The drain placed on the horizontal part of the duodenum was already removed, and yellow arrowheads show that the three indwelling drains remained

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