keyword
https://read.qxmd.com/read/36920127/an-atypical-case-of-meckel-s-diverticulum-with-small-bowel-obstruction-surgical-anatomy-embryology-and-clinical-implications
#21
K B Keot, M C Rajbongshi, R Medhi, E A Barbhuiya, R Kumar, D Borthakur
Meckel's diverticulum (MD) is the most frequent congenital anomaly of the gastrointestinal (GI) tract. Atypical presentations with life threatening complications include intestinal obstruction, intussusceptions, peritonitis, foreign body lodgement in the MD, perforated viscera etc. which require prompt diagnosis. Ectopic gastric and pancreatic tissues are found in up to half of the cases which can escalate the complications. However clinical diagnosis is not easy especially when the presentation is atypical...
2023: La Clinica Terapeutica
https://read.qxmd.com/read/36876840/a-rare-cause-of-obstructive-jaundice-and-pancreatitis-lemmel-s-syndrome
#22
Serdar Aslan, Ramazan Orkun Önder
INTRODUCTION/BACKGROUND: Lemmel's syndrome is defined as obstructive jaundice due to a PDD in the absence of choledocholithiasis or a neoplasm. The most common cause is the presence of PDD which arise within 2-3 cm from the ampulla of Vater. Currently, there are very few case reports of this condition, which was first named in 1934 after Dr. Gerhard Lemmel. CASE PRESENTATION: A 74-year-old female patient presented to the emergency department with complaints of abdominal pain and jaundice, and also had signs of pancreatitis, with laboratory results showing elevated liver and pancreatic enzymes and hyperbilirubinemia...
March 6, 2023: Current medical imaging
https://read.qxmd.com/read/36788912/a-rare-presentation-of-duodenal-diverticulum-causing-obstructive-jaundice-lemmel-s-syndrome
#23
Priyal Shrivastava, Vadlamudi Nagendra, Amruta Varma, Sushma S, Anna Mary Jose
Lemmel syndrome is an uncommon pancreaticobiliary consequence of duodenal diverticula. We herein present a case of an 80-year-old male who presented with upper abdominal discomfort. Based on lab values and relevant clinical history, a diagnosis of obstructive jaundice was made. A contrast-enhanced CT scan of the abdomen revealed gross dilatation of intra-hepatic and extra-hepatic bile duct, cystic duct, common bile duct, major and minor pancreatic duct. A contrast-filled outpouching was seen from the medial wall of the second part of the duodenum with duodenal diverticulum and papilla within it...
January 2023: Curēus
https://read.qxmd.com/read/36507518/clinical-analysis-of-45-cases-of-perforation-were-identified-during-endoscopic-retrograde-cholangiopancreatography-procedure
#24
JOURNAL ARTICLE
Yin-Shui Miao, Yuan-Yuan Li, Bo-Wen Cheng, Yan-Fang Zhan, Sheng Zeng, Xiao-Jiang Zhou, You-Xiang Chen, Nong-Hua Lv, Guo-Hua Li
BACKGROUND: Endoscopic retrograde cholangiopancreatography (ERCP) has become an important method to diagnose and treat biliary-pancreatic diseases. Perforations are infrequent but serious complications can occur during ERCPs. However, it is unclear which patients are suitable for surgery and when these patients should receive surgery. AIM: To analyze the outcome of 45 patients with endoscopic retrograde cholangiopancreatography (ERCP) related perforation. MATERIALS AND METHODS: We retrospectively reviewed all 45 patients with ERCP-related perforation between January 2003 and December 2017, and observed the location and causes of perforation, treatment strategies, and mortality...
2022: Frontiers in Medicine
https://read.qxmd.com/read/36468895/post-ercp-complication-analysis-of-an-experienced-center
#25
JOURNAL ARTICLE
Çağatay Ak, Hüseyin Aykut, Emin Pala, Süleyman Sayar, Ebru Tarikçi Kiliç, Gupse Adali, Resul Kahraman, Oğuzhan Öztürk, Kamil Özdil
BACKGROUND/AIM: Post-ERCP pancreatitis (PEP), post-sphincterotomy bleeding (PSB), and Post-ERCP perforation are the most common complications of endoscopic retrograde cholangiopancreatography (ERCP). Identification of risk factors for post-ERCP complications is critical for postoperative follow-up. This study aimed to evaluate the most common post-ERCP complication risk factors in an experienced center. METHODS/DESIGN: The sample consisted of 1288 patients with naive papillae...
December 1, 2022: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://read.qxmd.com/read/36406964/efficacy-and-safety-of-transpancreatic-sphincterotomy-in-endoscopic-retrograde-cholangiopancreatography-a-retrospective-cohort-study
#26
JOURNAL ARTICLE
Apostolis Papaefthymiou, Theodosia Florou, Apostolos Koffas, Christina Kateri, Konstantinos Pateras, Fotios Fytsilis, Dimitrios Chougias, Tryfon Bektsis, Anastasios Manolakis, Andreas Kapsoritakis, Spyros Potamianos
BACKGROUND: Difficult cannulation represents a common obstacle during endoscopic retrograde cholangiopancreatography (ERCP). We assessed the efficacy and adverse events of transpancreatic sphincterotomy (TPS), and investigated potential associated confounders. METHODS: All patients referred to our department for ERCP during 2015-2020 were eligible if they had intact papilla and visceral anatomy. In addition to standard measures, TPS was combined with pancreatic stent placement...
2022: Annals of Gastroenterology: Quarterly Publication of the Hellenic Society of Gastroenterology
https://read.qxmd.com/read/36337808/a-giant-choledochal-cyst-mimicking-pancreatic-pseudocyst-a-case-report
#27
Fathia Harrabi, Houssem Ammar, Mahdi Ben Latifa, Mohamed Amine Said, Raoudha Chrigui, Habiba Ben Hamada, Rahul Gupta, Mohamed Ben Mabrouk, Ali Ben Ali
A choledochal cyst (CC) is a rare congenital anomaly manifested as cystic dilatation of the biliary tree. A giant choledochal cyst is defined as a cyst with a maximum diameter of ≥ 10 cm. It is an unusual entity and rarely revealed in adulthood. We describe the case of a giant, infected CC presenting as acute pancreatitis with results of abdominal ultrasound and computed tomography consistent with a pancreatic pseudocyst. The diagnosis of CC was made on magnetic resonance cholangiopancreatography (MRCP) findings...
October 2022: Curēus
https://read.qxmd.com/read/36238501/imaging-findings-of-an-intraluminal-duodenal-diverticulum-associated-with-adult-duodeno-duodenal-intussusception-and-recurrent-pancreatitis-a-case-report
#28
Ga Young Yi, Jeong Kyong Lee, Huisong Lee, Sun Young Yi, SangHui Park
Intraluminal duodenal diverticulum (IDD) is a rare congenital abnormality, consisting of a sac-like mucosal lesion in the duodenum. Cases of IDD can present with gastrointestinal bleeding, duodenal obstruction, or pancreatitis. Here, we report a rare case of a 25-year-old female presenting with IDD complicated by duodeno-duodenal intussusception and recurrent pancreatitis. The diagnosis was based on findings from radiologic examinations (CT and MRI), upper gastrointestinal series (barium swallow), and gastroduodenofiberscopy...
May 2022: Taehan Yŏngsang Ŭihakhoe chi
https://read.qxmd.com/read/36206472/pancreatic-heterotopia-in-the-small-bowel-a-case-report-and-literature-review
#29
REVIEW
Ning-Hsuan Chin, Jiann-Ming Wu, Kuan-Chih Chen, Tzong-Hsi Lee, Cheng-Kuan Lin, Chen-Shuan Chung
Diagnosing pancreatic heterotopia (PH) is challenging, because it is a rare congenital anomaly. We report the case of a 66-year-old man who presented with ileus and jejunal PH diagnosed using single-balloon enteroscopy. Reviewing 178 cases of small intestinal PH in the literature showed that (1) PH mostly occurred at the duodenum (61.8%), followed by the jejunum (22.5%) and ileum (14.6%); (2) patients with ileal PH were younger (mean, 40.7 vs 54.6 years; P < 0.001), while those with jejunal PH were older (mean, 59...
July 1, 2022: Pancreas
https://read.qxmd.com/read/36156928/ectopic-bronchogenic-cyst-of-liver-misdiagnosed-as-gallbladder-diverticulum-a-case-report
#30
Cheng-Ji Dong, Ru-Ming Yang, Qi-Long Wang, Qing-Yuan Wu, Da-Ji Yang, De-Cai Kong, Ping Zhang
BACKGROUND: Ectopic bronchogenic cysts are a type of congenital cystic tumor that are extremely difficult to diagnose and can be ectopically located in various organs, with the possibility of malignant transformation. Here we report a case of an ectopic bronchogenic cyst in the liver initially misdiagnosed as a gallbladder diverticulum. CASE SUMMARY: The patient was a middle-aged woman whose chief complaint was intermittent pain in the upper abdomen. Imaging examination revealed a cystic space in the left inner lobe of the liver...
September 7, 2022: World Journal of Gastroenterology: WJG
https://read.qxmd.com/read/36124489/factors-and-techniques-associated-with-endoscopic-retrograde-cholangiopancreatography-outcomes-in-patients-with-periampullary-diverticulum-results-from-a-large-tertiary-center
#31
JOURNAL ARTICLE
Chuanchao Xia, Liqi Sun, Lisi Peng, Fang Cui, Zhendong Jin, Haojie Huang
Background: Endoscopic retrograde cholangiopancreatography (ERCP) for patients with periampullary diverticulum (PAD) remains a challenge. This study aims to investigate the factors and techniques related to successful and safe ERCP in patients with PAD. Methods: We enrolled patients who underwent ERCP in a large tertiary center. The difficult cannulation rate, technical success rate, clinical success rate, and adverse events (AEs) rate were compared between patients with or without PAD...
September 16, 2022: Saudi Journal of Gastroenterology: Official Journal of the Saudi Gastroenterology Association
https://read.qxmd.com/read/36099772/acute-abdomen-following-axial-torsion-of-a-giant-meckel-s-diverticulum-in-a-young-male-a-case-report
#32
B M Munasinghe, D C Dhanuksha, R D Samarathunga, P S M B Senevirathne, C T Karunatileke
INTRODUCTION AND IMPORTANCE: Among Meckel's diverticulum (MD), the 'Giant' category is relatively rare. Most Giant MDs lead to complications such as torsion and diverticulitis. PRESENTATION OF CASE: A 20-year-old South Asian male presented with a three-day history of vomiting and left-sided abdominal pain. X-ray and ultrasound scan of the abdomen illustrated features of small bowel obstruction. He underwent laparotomy under general anaesthesia. A gangrenous, axially torsed 25-cm Giant MD with concurrent ileal compression by a mesodiverticular band was detected and diverticulectomy and segmental resection with end-to-end anastomosis of the ileum was performed...
September 9, 2022: International Journal of Surgery Case Reports
https://read.qxmd.com/read/36060297/emergency-presentations-of-meckel-s-diverticulum-in-adults
#33
JOURNAL ARTICLE
Ayad Ahmad Mohammed, Mohammed Rasheed Mohammed
INTRODUCTION: Meckel's diverticulum is the commonest congenital anomaly of the gastrointestinal tract in humans that is commonly encountered during surgical practice as the cause of the patient's presentation or as an incidental finding during other unrelated procedures. Most clinical symptoms are caused due to its complications. RESULTS: The mean age of the involved patients was 24.79 years with slight male predominance, 62.9% males compared to 37.1% females. The mean length of the diverticulum was 55...
2022: Surgery Research and Practice
https://read.qxmd.com/read/35846862/immediate-coiling-of-a-gastroduodenal-arterial-bleeding-in-a-case-of-haemorrhagic-shock-without-haematemesis-a-case-report
#34
Donald Schweitzer, Sanne W De Boer, Roel M M Bogie, Daniel Keszthelyi, Dave H Schweitzer, Stefan A W Bouwense
Introduction: and importance: Upper gastrointestinal (GI) bleeding is common in the clinic. In combination with haemorrhagic shock, morbidity is high. Rapid diagnosis and treatment can save lives. With the introduction of precision imaging several treatment options are feasible. Up-to-date diagnosis and treatment requires expertise from interventional radiology, gastroenterology and surgery to form a dedicated intervention team. This is illustrated by a typical case. Case presentation: We report a 78-year-old otherwise healthy male with a severe diverticulum bleeding...
August 2022: Annals of Medicine and Surgery
https://read.qxmd.com/read/35672029/simultaneous-laparoscopic-removal-of-a-todani-type-ii-choledochal-cyst-and-a-microlithiasic-cholecystitis
#35
Alfonso Grottesi, Simonetta Iacovitti, Paolo Ciano, Marco Catarci, Francesco Borrini, Maddalena Zippi
Diverticula of the choledochus, better known as Todani type II cysts, are very rare and represent a predominantly pediatric pathology. Their identification by radiological methods, even if occasional, requires clinical doctors to request a surgical consultation, even for asymptomatic subjects, to proceed with their removal, given the risk of associated neoplasms. The laparoscopic approach for surgical treatment of these cysts has been recently introduced with excellent results. Due to the poor clinical records, currently there are neither shared protocols about their management nor long-term follow-up of operated patients...
June 7, 2022: Annals of Hepato-Biliary-Pancreatic Surgery
https://read.qxmd.com/read/35648320/laparoscopic-surgery-for-duodenal-perforation-due-to-a-diverticulum-with-heterotopic-pancreas-a-case-report
#36
JOURNAL ARTICLE
Shu Tsukihara, Shinji Onda, Kyonsu Son, Daisuke Ito, Hironori Kanno, Toshiaki Morikawa, Nobuyoshi Hanyu, Ken Eto
BACKGROUND: Heterotopic pancreas (HP) refers to the presence of abnormally located pancreatic tissue without any anatomic or vascular continuity with the main body of the pancreas. HP can occur in the gastrointestinal tract and be complicated by gastrointestinal bleeding, pancreatitis, obstruction, or malignant generation. Specifically, perforation of the gastrointestinal tract because of HP is extremely rare. CASE PRESENTATION: A 91-year-old woman was diagnosed with duodenal perforation, and an emergency laparoscopic operation was performed...
June 1, 2022: Surgical Case Reports
https://read.qxmd.com/read/35592821/meckel-s-diverticulum-causing-acute-intestinal-obstruction-a-case-report-and-comprehensive-review-of-the-literature
#37
Talal Almas, Abdulla K Alsubai, Danyal Ahmed, Muneeb Ullah, Muhammad Faisal Murad, Khadeer Abdulkarim, Eissa Sultan Alwheibi, Mohamed Alansaari, Tala Abdullatif, Sebastian Hadeed, Muhammad Omer Khan, Majid Alsufyani, Enaam Alzadjali, Arjun Samy, Mert Oruk, Mhmod Kadom, Fatemah Saleh Alhajri, Ahmed Barakat, Maen Monketh Alrawashdeh, Mohammad Said, Reem AlDhaheri, Emad Mansoor
Introduction: Meckel's diverticulum is a congenital anomaly that is often detected incidentally. When it presents symptomatically, it causes painless gastrointestinal bleeding. Nevertheless, in rare instances, it can cause acute intestinal obstruction, often obscuring the true clinical picture. Case presentation: A 31-year-old male presented to the emergency department with a 24-h history of unremitting nausea, biliary emesis, abdominal distension, and absolute constipation...
June 2022: Annals of Medicine and Surgery
https://read.qxmd.com/read/35350216/a-case-report-of-ectopic-pancreatic-tissue-in-the-gallbladder
#38
Anzel Jansen van Rensburg, Kasra Raufian
Heterotropic pancreatic tissue is a rare entity where aberrant pancreatic tissue is located without any anatomical connection to the pancreas. It is usually reported to be found in stomach, duodenum, jejunum and spleen. Rare locations include lung, mediastinum, liver, mesentery, ileum, meckels diverticulum and gallbladder [1, 2]. This anomaly is often an incidental finding during laparotomy or autopsy. We describe a case of an elective laparoscopic cholecystectomy with the histology of the gallbladder showing focal ectopic pancreatic acinar tissue...
March 2022: Journal of Surgical Case Reports
https://read.qxmd.com/read/35317545/choledocholithiasis-characteristics-with-periampullary-diverticulum-and-endoscopic-retrograde-cholangiopancreatography-procedures-comparison-between-two-centers-from-lanzhou-and-kyoto
#39
JOURNAL ARTICLE
Ke-Xiang Zhu, Ping Yue, Hai-Ping Wang, Wen-Bo Meng, Jian-Kang Liu, Lei Zhang, Xiao-Liang Zhu, Hui Zhang, Long Miao, Zheng-Feng Wang, Wen-Ce Zhou, Azumi Suzuki, Kiyohito Tanaka, Xun Li
BACKGROUND: Most of study regarding periampullary diverticulum (PAD) impact on endoscopic retrograde cholangiopancreatography (ERCP) therapy for choledocholithiasis based on data from one endoscopy center and lacked to compare the clinical characteristic of choledocholithiasis with PAD from different geographical patients. AIM: To compare the choledocholithiasis clinical characteristics between two regional endoscopy centers and analyze impacts of clinical characteristics on ERCP methods for choledocholithiasis patients with PAD...
February 27, 2022: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/35059194/giant-duodenal-diverticulum-with-mucinous-carcinoma-of-distal-bile-duct-mimmicking-lemmel-syndrome-a-rare-case-report
#40
Bernardus Parish Budiono, Melissa Angela Chionardes, Sigit Adi Prasetyo, Ignatius Riwanto
INTRODUCTION: Giant duodenal diverticulum is a very rare case. There are only few cases reported. We reported a case of giant duodenal diverticulum with biliary obstruction caused by mucinous carcinoma of distal common bile duct (CBD), that mimicking Lemmel syndrome. CASE PRESENTATION: A 68-years-old man admitted to hospital with recurrent epigastric pain, jaundice and fever. Magnetic resonance cholangiopancreatography showed dilated intrahepatic and extrahepatic biliary tree, dilated gallbladder and cystic mass in pancreatic head that pushed the pancreatic duct ventrally...
February 2022: Annals of Medicine and Surgery
keyword
keyword
62478
2
3
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.