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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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1 Miller G, Mueller C, Yim D, et al. Perforated duodenal diverticulitis: a report of three cases. Dig Surg 2005;22:198-202.   DOI   ScienceOn
2 Munnell ER, Preston WJ. Complications of duodenal diverticula. Arch Surg 1966;92:152-156.   DOI   ScienceOn
3 Van Beers B, Trigaux JP, De Ronde T, Melange M. CT findings of perforated duodenal diverticulitis. J Comput Assist Tomogr 1989;13:528-530.   DOI   ScienceOn
4 Vandenbroucke F, Op de Beeck B, de Mey J. Duodenal diverticulitis: CT and MR findings. Emerg Radiol 2006;13:95-97.   DOI   ScienceOn
5 Schnueriger B, Vorburger SA, Banz VM, Schoepfer AM, Candinas D. Diagnosis and management of the symptomatic duodenal diverticulum: a case series and a short review of the literature. J Gastrointest Surg 2008;12:1571-1576.   DOI   ScienceOn
6 McSherry CK, Glenn F. Biliary tract obstruction and duodenal diverticula. Surg Gynecol Obstet 1970;130:829-836.
7 Gore RM, Ghahremani GG, Kirsch MD, Nemcek AA Jr, Karoll MP. Diverticulitis of the duodenum: clinical and radiological manifestations of seven cases. Am J Gastroenterol 1991;86:981-985.
8 Yi SY, Lee HC, Jung HK. Incidence and significance of periampullary divertucula at endoscopic retrograde cholangiopancreatography. Korean J Med 1998;55:827-831.
9 Park H, Song J, Lee B, Yoon D, Lee D. Perforated duodenal diverticulitis caused by retained common bile duct stone in the diverticulum. Am J Gastroenterol 2009;104:248-249.   DOI   ScienceOn
10 Donald JW. Major complications of small bowel diverticula. Ann Surg 1979;190:183-188.   DOI   ScienceOn
11 Pearl MS, Hill MC, Zeman RK. CT findings in duodenal diverticulitis. AJR Am J Roentgenol 2006;187:392-395.   DOI   ScienceOn
12 Luz LP, Eloubeidi MA. Duodenal diverticulitis mimicking cholangitis: endoscopic and EUS appearance. Am J Gastroenterol 2009;104:2125-2126.   DOI   ScienceOn
13 Macari M, Lazarus D, Israel G, Megibow A. Duodenal diverticula mimicking cystic neoplasms of the pancreas: CT and MR imaging findings in seven patients. AJR Am J Roentgenol 2003;180:195-199.   DOI   ScienceOn
14 Rao PM. Diagnosis please. Case 11: perforated duodenal diverticulitis. Radiology 1999;211:711-713.   DOI