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Dig Surg. 2000;17(3):288-92.

Intraluminal duodenal diverticulum causing acute pancreatitis: CT scan diagnosis and review of the literature.

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1
Institute of Emergency Surgery, University of Milan, Ospedale Maggiore IRCCS, Milan, Italy.

Abstract

BACKGROUND:

Intraluminal duodenal diverticulum is a rare congenital anomaly. First described by Boyd in 1845, no more than 100 cases have been reported up to now: only 17 are associated with acute pancreatitis.

METHODS:

A new case of intraluminal duodenal diverticulum with acute pancreatitis is reported and the literature about this association reviewed.

RESULTS:

The diagnosis was made by helical CT scan. The pathogenesis of pancreatitis was possibly due to a pure duodenal content reflux through the papilla of Vater. The patient was successfully treated by surgery.

CONCLUSIONS:

Intraluminal duodenal diverticulum is a rare but curable cause of pancreatitis, usually affecting young people. We describe, for the first time, its unusual helical CT imaging with two-dimensional reformations.

PMID:
10867468
DOI:
18854
[Indexed for MEDLINE]
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