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duodenal diverticulum

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https://www.readbyqxmd.com/read/27906430/recurrent-acute-pancreatitis-in-bowel-malrotation
#1
G Alessandri, A Amodio, L Landoni, N De' Liguori Carino, C Bassi
OBJECTIVE: Recurrent acute pancreatitis is an uncommon diagnosis in teenagers. Excluded alcohol and biliary stones, more prevalent aetiologies in these group of patients are genetic pancreatitis, pancreatic duct system abnormalities, neoplasia, traumas and congenital abnormalities of the duodenum such as duodenal duplication or diverticulum. Two reported cases of recurrent pancreatitis associated to midgut malrotation were described in English literature. Bowel malrotation is a difficult diagnosis in a teenager or a young adult and a common delay is documented...
November 2016: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/27882342/the-impact-of-duodenal-diverticuli-and-the-execution-of-endoscopic-retrograde-cholangiopancreaticography
#2
R J L F Loffeld, P E P Dekkers
Introduction. Duodenal diverticuli alter the anatomy of the papillary region and can make an ERCP difficult. Aim. To study the outcome of ERCP in cases of duodenal diverticuli. Patients and Methods. Consecutive ERCPs in a period of 24 years were included. Endoscopy reports were studied for presence of diverticuli. Success of the procedure and findings were noted. Clinical records were searched for clinical presentation of the patient. Patients without duodenal diverticuli were used as comparison. Results. 2795 procedures were done in 2092 patients...
2016: International Scholarly Research Notices
https://www.readbyqxmd.com/read/27835805/perforated-duodenal-diverticulum-case-report
#3
Julie Glener, Stephenie Poris, Brandon Foles, Rhonda Harmon
INTRODUCTION: The duodenum is the second most common location of intestinal diverticula following the colon (Juler et al., 1969) [1]. Only 1-5% of patients with duodenal diverticula become symptomatic (Oukachbi, 2013) [2]. The least common but most serious complication of duodenal diverticula is perforation, which has a mortality rate of 20% (Oukachbi, 2013; Yin et al., 2001; Song, 2015; Schnueriger et al., 2008) [2-5]. PRESENTATION OF CASE: A 65year old female presented with sudden onset periumbilical and epigastric pain...
October 23, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27807587/two-cases-of-intraluminal-windsock-diverticula-resulting-in-partial-duodenal-obstruction
#4
Vikram Anand, Justin Provost, Maged Bakr, Christopher Bach, Prakriti Merchant, Christopher Brown, Claudia Gruss
An intraluminal duodenal diverticulum (IDD) is a rare congenital anomaly that is the result of incomplete recanalization of the embryologic foregut leaving a fenestrated membrane within the lumen of the duodenum. Years of peristalsis acting on the membrane result in the formation of a diverticulum. Most patients are asymptomatic, while some may have abdominal pain, bloating, or fullness. Rare complications include gastrointestinal bleeding, obstruction, pancreatitis, and cholangitis. We present 2 cases with endoscopic findings consistent with partially obstructing symptomatic IDD...
August 2016: ACG Case Reports Journal
https://www.readbyqxmd.com/read/27721199/laparoscopic-resection-of-perforated-duodenal-diverticulum-a-case-report-and-literature-review
#5
Ting-Chia Yeh
BACKGROUND: Duodenum diverticulum is the most common site for diverticular disease of small intestine. Most of duodenal diverticulum are asymptomatic, but complicated or perforated duodenal diverticulum is rare. Nonoperative management is attractive in selected patients, because of higher surgical complications. We suggest the use of a minimally invasive operative method as an alternative approach for the management of complicated duodenal diverticulum, especially when conservative treatment has failed...
October 5, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27523179/-juxtapapillary-duodenal-diverticulum-causing-pancreatobiliary-problems-case-report-and-literature-review
#6
J Trna, I Penka, B Buliková, V Zbořil, I Novotný
UNLABELLED: Juxtapapillary duodenal diverticula are reported as a potential cause of many pancreatobiliary diseases. However, data concerning this association is inconsistent and the role of the diverticulum is often underestimated or even denied in clinical practice. This case report and literature review is aimed at pointing out this problem.Obstruction of the diverticulum with a food bezoar can be considered as an important clinical clue of the etiological role of the diverticulum in pancreatobiliary disease development...
2016: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://www.readbyqxmd.com/read/27339636/erratum-to-are-endoclips-best-approach-to-cannulate-an-ampulla-hidden-in-the-duodenal-diverticulum
#7
Abdul Nadir, Keng-Yu Chuang
No abstract text is available yet for this article.
June 23, 2016: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/27190786/contrast-enhanced-computed-tomographic-study-on-the-prevalence-of-duodenal-diverticulum-in-indian-population
#8
B Minu Rekha, Anuradha Chandramohan, B Sudhakar Chandran, Visalakshi Jayaseelan, J Suganthy
INTRODUCTION: Duodenal diverticulum (DD) is the second most common diverticulum, yet its incidence varies widely from 1-22% based on the mode of investigation. Computed Tomography (CT) of abdomen is the preferred modality to diagnose acute abdomen including those of complications of DD. Moreover, the prevalence of DD in Indian population is not yet been studied using CT. AIM: The current study aim to look for the prevalence of DD in Indian population using Contrast Enhanced Computed Tomography (CECT) abdomen...
April 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27112247/capsule-endoscopy-with-retention-of-the-capsule-in-a-duodenal-diverticulum-a-case-report
#9
Siho Kim, Sang Su Bae, Hyung Jun Chu, Ji Hwan Park, Gyu Cheon Kyung, Hyo Dong An, Keun Kim, Eun Gyu Gang
Capsule endoscopy is being increasingly recognized as a gold standard for diagnosing small bowel disease, but along with the increased usage, capsule retention is being reported more frequently. We report a case of capsule endoscopy retention in a diverticulum of the duodenal proximal third portion, which we treated by esophagogastroduodenoscopy. A 69-year-old male visited hospital with hematochezia. He had hypertension and dyslipidemia for several years, and was taking aspirin to prevent heart disease. CT and colonoscopy revealed a diverticulum in the third portion of the duodenum, rectal polyps, and internal hemorrhoids...
April 25, 2016: Korean Journal of Gastroenterology, Taehan Sohwagi Hakhoe Chi
https://www.readbyqxmd.com/read/27052496/periampullary-diverticula-misdiagnosed-as-cystic-pancreatic-lesions-a-review-of-3-cases
#10
Chee Hui Ng, Chau Hung Lee
BACKGROUND: Cystic lesions on the pancreatic head can mimic fluid-filled duodenal or periampullary diverticula. We reviewed a series of cases in which periampullary diverticula were misdiagnosed as cystic pancreatic lesions. CASE REPORT: Case 1. A Chinese woman presented to the surgical outpatient clinic for intermittent upper abdominal discomfort. Contrast-enhanced MRI of the abdomen revealed a cystic-appearing lesion in the region of the pancreatic head, which was reported as a cystic pancreatic lesion...
2016: American Journal of Case Reports
https://www.readbyqxmd.com/read/27014423/endoscopic-retrograde-cholangiopancreatography-in-periampullary-diverticulum-the-challenge-of-cannulation
#11
REVIEW
Ahmed Youssef Altonbary, Monir Hussein Bahgat
Periampullary diverticulum (PAD) is duodenal outpunching defined as herniation of the mucosa or submucosa that occurs via a defect in the muscle layer within an area of 2 to 3 cm around the papilla. Although PAD is usually asymptomatic and discovered incidentally during endoscopic retrograde cholangiopancreatography (ERCP), it is associated with different pathological conditions such as common bile duct obstruction, pancreatitis, perforation, bleeding, and rarely carcinoma. ERCP has a low rate of success in patients with PAD, suggesting that this condition may complicate the technical application of the ERCP procedure...
March 25, 2016: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/26996185/-successful-management-of-periampullary-diverticular-bleeding-with-hemoclipping-using-side-viewing-endoscope-during-endoscopic-retrograde-cholangiopancreatography
#12
Bo Geun Park, Young Wook Yoo, Joon Cheol Song, Sung Hee Gam, Mi Sung Kim, Byeong Seong Ko
Periampullary diverticulum is commonly found during endoscopy and can occur at any age although its prevalence increases with age. Periampullary diverticular bleeding is a rare and difficult to diagnose during clinical practice because of its unique appearance and location. This often can lead to massive bleeding and interfere with adequate bleeding control. Endoscopic management on duodenal diverticular bleeding is limited compared to colonic diverticular bleeding due to lack of experience. Herein, we report a case of active bleeding from a periampullary diverticulum during bile duct stone extraction diagnosed by side-viewing endoscope and successfully controlled using hemoclips without any complications...
March 2016: Korean Journal of Gastroenterology, Taehan Sohwagi Hakhoe Chi
https://www.readbyqxmd.com/read/26951229/small-bowel-congenital-anomalies-a-review-and-update
#13
Grant Morris, Alfred Kennedy, William Cochran
The small intestine is a complex organ system that is vital to the life of the individual. There are a number of congenital anomalies that occur and present most commonly in infancy; however, some may not present until adulthood. Most congenital anomalies of the small intestine will present with obstructive symptoms while some may present with vomiting, abdominal pain, and/or gastrointestinal bleeding. Various radiologic procedures can aid in the diagnosis of these lesions that vary depending on the particular anomaly...
April 2016: Current Gastroenterology Reports
https://www.readbyqxmd.com/read/26820763/intraluminal-duodenal-diverticulum-causing-upper-gi-obstruction
#14
Manisha Jana, Arun Kumar Gupta
No abstract text is available yet for this article.
August 2016: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/26802407/ruptured-duodenal-diverticulum-after-blunt-abdominal-trauma
#15
Jeremy S Albin, Ernest L Dunn
No abstract text is available yet for this article.
March 2015: American Surgeon
https://www.readbyqxmd.com/read/26762846/the-windsock-sign-intraluminal-duodenal-diverticulum
#16
Devika Kapuria, Sreeni Jonnalagadda
No abstract text is available yet for this article.
August 2016: Clinical Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/26615165/choledocholithiasis-diagnosis-and-management
#17
REVIEW
Alexander Copelan, Baljendra S Kapoor
Common bile duct stones constitute the main etiology of nonmalignant biliary obstruction. Endoscopic retrieval of common bile duct stones has been adopted as the primary treatment modality for extrahepatic biliary stones. However, endoscopic therapy may fail in patients who have had previous gastrointestinal tract surgeries, including partial gastrectomy with Billroth II reconstruction or bilioenteric anastomosis, or in patients with anatomical anomalies such as a duodenal periampullary diverticulum, which makes the biliary duct difficult to access via an endoscopic approach...
December 2015: Techniques in Vascular and Interventional Radiology
https://www.readbyqxmd.com/read/26598795/multidetector-ct-diagnosis-of-non-traumatic-gastroduodenal-perforation
#18
Dabee Lee, Mi-Hyun Park, Byung Seok Shin, Gyeong Sik Jeon
INTRODUCTION: To identify reliable CT features and assess the diagnostic performance of 64-multidetector CT (MDCT) in diagnosing non-traumatic gastroduodenal perforation (GDP). METHODS: We retrospectively reviewed 136 CT scans of patients with surgically proven non-traumatic gastrointestinal perforation during 7 years. 92 patients had GDP and 44 patients had other sites of perforation. CT features of perforation were evaluated and the sensitivity, specificity and likelihood ratios of each CT feature were estimated...
April 2016: Journal of Medical Imaging and Radiation Oncology
https://www.readbyqxmd.com/read/26595897/surgical-management-of-complicated-intra-mural-duodenal-hematoma-a-case-report-and-review-of-literature
#19
Walid Elmoghazy, Islam Noaman, Ahmed-Emad Mahfouz, Ahmed Elaffandi, Hatem Khalaf
INTRODUCTION: Intramural duodenal hematoma (IDH) is a rare pathological entity that occurs as a complication of trauma, pancreatitis, peptic ulcer disease or endoscopic biopsy procedures. In this report, we present a case of IDH related to a duodenal diverticulum that was complicated by intra-abdominal bleeding and peritonitis. PRESENTATION OF CASE: We report a 31-year old male who presented with pancreatitis that was complicated with IDH, as diagnosed using endoscopy and CT scan of the abdomen...
2015: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/26387699/management-of-perforated-duodenal-diverticulum-report-of-two-cases
#20
Sanghyun Song
Duodenal diverticula are common, but perforated duodenal diverticulum is rare. Because of the disease rarity, there is no standard management protocol for perforated duodenal diverticulum. To properly manage this rare complication, a clear preoperative diagnosis and clinical disease severity assessment are important. An abdomino-pelvic CT is an unquestionably crucial diagnostic tool. Perforation is considered a surgical emergency, although conservative treatment based on fasting and broad-spectrum antibiotics may be offered in some selected cases...
September 2015: Korean Journal of Gastroenterology, Taehan Sohwagi Hakhoe Chi
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