Peritonitis by perforation of a paracardial diverticulum: report of a rare case

The Gastric diverticulum is a rare disease, is a pouch protruding from the gastric wall. Usually gastric diverticulum is detected incidentally by gastrointestinal study, when the gastric diverticulum has symptoms surgical resection is recommended being open or laparoscopic resection with excellent results. There is no medical therapy for this disease; however, the use of PPIs can improve some symptoms. A 64-year-old male patient with a history of intermittent epigastralgia was admitted to the hospital’s emergency room in a similar case of a peritonitis by ulcer perforation, surgical exploration showed a perforated paracardial diverticulum with generalized peritonitis a wedge resection was performed with good postoperative evolution.