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A Case of Duodenal Diverticulitis Mimicking Cholangitis  

Kwon, Young-Lan (Department of Internal Medicine, Keimyung University Dongsan Hospital)
Cho, Kwang-Bum (Department of Internal Medicine, Keimyung University Dongsan Hospital)
Kim, Eun-Soo (Department of Internal Medicine, Keimyung University Dongsan Hospital)
Park, Kyung-Sik (Department of Internal Medicine, Keimyung University Dongsan Hospital)
Kim, Min-Joung (Department of Internal Medicine, Keimyung University Dongsan Hospital)
Kim, Kyung-Hun (Department of Internal Medicine, Keimyung University Dongsan Hospital)
Lee, Joung-Eun (Department of Internal Medicine, Keimyung University Dongsan Hospital)
Lee, Kyung-In (Department of Internal Medicine, Keimyung University Dongsan Hospital)
Publication Information
Clinical Endoscopy / v.41, no.3, 2010 , pp. 185-188 More about this Journal
Abstract
The duodenum ranks second to the colon as the most common site of diverticulosis in the gastrointestinal tract with a prevalence of more than 20%. It is usually asymptomatic, and rarely requires treatments for complications, including diverticulitis, hemorrhage, and luminal obstructions. Unlike diverticulosis, duodenal diverticulitis is extremely rare. Given that the radiological appearance and clinical presentation of duodenal diverticulitis often mimic those of pancreaticobiliary neoplasms or inflammations, it is a challenge for clinicians to diagnose it correctly, which often leads to misdiagnosis and inappropriate management. Here we report a case of a 69 year-old female patient with duodenal diverticulitis, whose clinical symptoms and radiological images were similar to those of acute cholangitis. We also briefly review the literature.
Keywords
Duodenal diverticulitis; Endoscopic sphincterotomy; Cholangitis;
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