Duodenal diverticula occur in up to 20% of the general population and are generally asymptomatic. Duodenal diverticula occur in up to 20% of the general population and are generally asymptomatic. Complications such as perforation are exceedingly rare, with only 101 cases reported in the literature.1 Early diagnosis is a challenge and clear guideline for the management of this rare entity is still lacking. We present a case of a 50 year-old man who was admitted to our institution with a perforated duodenal diver-ticulum. The diagnosis was achieved by contrast CT imaging of his abdomen and he was subsequently managed conservatively with nasogastric decom-pression and broad-spectrum antibiotics.