A Case of an Intraluminal Duodenal Diverticulum Managed with Endoscopic Incision and Ligation using Needle-knife and Detachable Snare.
- Author:
Young Dae PARK
1
;
Yun Jin CHUNG
;
Seong Woo JEON
;
Chang Min CHO
;
Won Young TAK
;
Young Oh KWEON
;
Sung Kook KIM
;
Yong Hwan CHOI
Author Information
1. Department of Internal Medicine, College of Medicine, Kyungpook National University, Daegu, Korea. cmcho@knu.ac.kr
- Publication Type:Case Report ; English Abstract
- Keywords:
Duodenum;
Diverticulum;
Pancreatitis;
Gastrointestinal hemorrhage;
Endoscopy
- MeSH:
Acute Disease;
Adult;
Diverticulum/radiography/*surgery;
Duodenal Diseases/radiography/*surgery;
*Endoscopes, Gastrointestinal;
Endoscopy, Gastrointestinal;
Female;
Gastrointestinal Hemorrhage/diagnosis;
Humans;
Pancreatitis/diagnosis
- From:The Korean Journal of Gastroenterology
2007;49(3):177-182
- CountryRepublic of Korea
- Language:English
-
Abstract:
An intraluminal duodenal diverticulum (IDD) is a rare congenital anomaly consisted of a sac-like mucosal projection within the second portion of the duodenum. Even though most of cases are asymptomatic, patients may develop recurrent abdominal pain, pancreatitis, and gastrointestinal bleeding. We report a case of symptomatic IDD which presented as acute pancreatitis and obscure gastrointestinal bleeding. Diagnosis was made by typical findings of upper GI series and coronal reformatted CT images. Although surgical resection is the treatment of choice, endoscopic incision and ligation with detachable snare was performed which led to a good result.
