1.Duodenal ectopic pancreas complicated by chronic pancreatitis and pseudocyst formation: a case report.
Jun Pyo CHUNG ; Sang In LEE ; Ki Whang KIM ; Hoon Sang CHI ; Hyeon Joo JEONG ; Young Myung MOON ; Jin Kyung KANG ; In Suh PARK
Journal of Korean Medical Science 1994;9(4):351-356
Ectopic pancreas is no longer a rare clinical condition, but its unusual clinical manifestations, locations or complications are of clinical interest. We experienced a case (a 48 year-old male patient) of duodenal ectopic pancreas complicated by chronic pancreatitis and pseudocyst formation of which preoperative imaging findings mimicked a large duodenal submucosal tumor with cystic degeneration such as a leiomyosarcoma. Simultaneous chronic pancreatitis was also demonstrated in the isotopic pancreas of the patient postoperatively. Herein we report a rare clinical condition occurring in an ectopic pancreas with a brief review of the literature.
Case Report
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Choristoma/complications/*diagnosis
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Chronic Disease
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Diagnosis, Differential
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Duodenal Diseases/complications/*diagnosis
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Duodenal Neoplasms/diagnosis
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Human
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Male
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Middle Age
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*Pancreas
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Pancreatic Pseudocyst/complications/*diagnosis
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Pancreatitis/complications/*diagnosis
2.A Case of Brunner's Gland Hamartoma Presenting as Obscure Gastrointestinal Hemorrhage.
Chang Hwan PARK ; Soo Jung LEE ; Jeong Ho PARK ; Jae Hong PARK ; Wan Sik LEE ; Young Eun JOO ; Hyun Soo KIM ; Sung Kyu CHOI ; Jong Sun REW ; Seong Yeob RYU ; Min Cheul LEE ; Sei Jong KIM
The Korean Journal of Gastroenterology 2004;43(3):211-214
Brunner's gland hamartomas are rare tumors of duodenum, they are often discovered incidentally during esophagogastroduodenoscopy or upper gastrointestinal series. These tumors arise mainly in the duodenal bulb and can present with gastrointestinal hemorrhage and intestinal obstruction. Most of Brunner's gland hamartomas are located within the range of the standard esophagogastroduodenoscope. However, they are rarely located below the third portion of duodenum. As well known, the small intestine, including the 4th portion of duodenum, jejunum, and ileum, is relatively inaccessible with routine endoscopy. Thus, the diagnosis of Brunner's gland hamartoma in these area can be delayed up to several months after onset of symptoms. We report a case of Brunner's gland hamartoma which was located in the fourth portion of the duodenum and presented as obscure gastrointestinal hemorrhage. Radiologic, surgical, and pathologic appearances are presented.
Brunner Glands
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Duodenal Diseases/*complications/diagnosis
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Female
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Gastrointestinal Hemorrhage/*etiology
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Hamartoma/*complications/diagnosis
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Humans
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Middle Aged
3.Diagnosis, prevention and treatment of post-operative rare complications after radical gastrectomy for gastric cancer.
Chinese Journal of Gastrointestinal Surgery 2023;26(2):138-143
Radical gastrectomy for gastric cancer results in various post-operative complications, and the influencing factors are complicated. The diagnosis, treatment and prevention of common complications have been reported in many literatures. However, there are few reports on the prevention and treatment of rare complications. Rare complications after radical gastrectomy are often overlooked due to their low incidence. In addition, there are few guidelines and expert consensus regarding to the rare complications. Therefore, clinicians may lack experience in the diagnosis, treatment and prevention of rare complications after radical gastrectomy. Based on the literature review and the author's experience, this article systematically reviews seven rare complications after radical gastrectomy (duodenal stump fistula, pancreatic fistula, chyle leakage, esophagomediastinal fistula, internal hernia, gastroparesis, and intussusception). This article aims to provide a comprehensive reference for the diagnosis, treatment and prevention of rare complications after radical gastrectomy for gastric cancer patients.
Humans
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Stomach Neoplasms/complications*
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Gastrectomy/methods*
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Postoperative Complications/etiology*
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Duodenal Diseases
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Laparoscopy/adverse effects*
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Retrospective Studies
4.A Case of Duodenal Diverticulum Accompanied with Choledochoduodenal and Pancreaticoduodenal Fistulas.
Sang Ik WHANG ; Jin Bae KIM ; Hae Ri LEE ; Il Hyun BAEK ; Yun Jung CHANG ; Sung Won JUNG ; Myung Seok LEE
The Korean Journal of Gastroenterology 2006;47(5):386-388
Choledochoduodenal fistula (CDF) occurring simultaneously with pancreaticoduodenal fistula is extremely rare. CDF has known to be a chronic sequela of cholelithiasis, but it is unknown whether pancreaticoduodenal fistula results from chronic cholelithiasis as well. We report a case of cholelithiasis accompanied with choledochoduodenal and pancreaticoduodenal fistula opening into small suprapapillary diverticulum in a 80-year-old woman.
Aged, 80 and over
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Biliary Fistula/*complications
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Cholelithiasis/complications
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Common Bile Duct Diseases/*complications
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Diverticulum/*complications
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Duodenal Diseases/*complications
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Female
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Humans
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Intestinal Fistula/*complications
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Pancreatic Fistula/*complications
5.Duodenal Duplicated Cyst Manifested by Acute Pancreatitis and Obstructive Jaundice in an Elderly Man.
Young Chul JO ; Kwang Ro JOO ; Do Ha KIM ; Jong Ho PARK ; Jae Hee SUH ; Young Min KIM ; Chang Woo NAM
Journal of Korean Medical Science 2004;19(4):604-607
A duodenal duplication cyst is an uncommon congenital anomaly that is usually encountered during infancy or in early childhood. Duodenal duplication cysts generally appear on the first or second portion of the duodenum and may cause duodenal obstruction, hemorrhage or pancreatitis. Here, we report a case of a duodenal duplication cyst on the second and third portion of the duodenum in an old aged man with obstructive jaundice and acute pancreatitis, which was treated successfully by a surgical excision.
Abnormalities
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Aged
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*Cysts/complications/diagnosis/pathology
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*Duodenal Diseases/complications/diagnosis/pathology
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Humans
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Jaundice, Obstructive/*etiology
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Male
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Pancreatitis/*etiology
6.A Case of Intramural Duodenal Hematoma Accompanied by Acute Pancreatitis Following Endoscopic Hemostasis for Duodenal Ulcer Bleeding.
Min Keun SONG ; Joon Beom SHIN ; Ha Na PARK ; Eun Jin KIM ; Ki Cheun JEONG ; Dong Hwan KIM ; Jae Bock CHUNG ; Do Young KIM
The Korean Journal of Gastroenterology 2009;53(5):311-314
Intramural duodenal hematoma is an uncommon condition, which usually develops after blunt abdominal trauma. It is also reported as a complication of anticoagulant therapy, blood dyscrasia, pancreatic disease, and diagnostic and therapeutic endoscopy. The typical clinical pictures of intramural duodenal hematoma consist of upper abdominal pain, vomiting, fever, and hematochezia, and it is rarely accompanied by intestinal obstruction, peritonitis, and pancreatitis as its complication. We report a case of intramural duodenal hematoma extended to peritoneal cavity, and accompanied by acute pancreatitis following therapeutic endoscopy for duodenal ulcer bleeding in a 32-year-old man who was on maintenance of anti-coagulation therapy after valvular heart surgery.
Acute Disease
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Adult
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Diagnosis, Differential
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Duodenal Diseases/*diagnosis/pathology/surgery
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Duodenal Ulcer/*complications
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Hematoma/*diagnosis/pathology/surgery
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*Hemostasis, Endoscopic
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Humans
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Male
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Pancreatitis/complications/*diagnosis
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Peptic Ulcer Hemorrhage/*therapy
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Postoperative Complications
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Tomography, X-Ray Computed
7.A Case of Left Paraduodenal Hernia Combined with Acute Small Bowel Obstruction.
Eun Young CHO ; Chang Soo CHOI ; Nam Jin YOO ; Eui Tae HWANG ; Jun Young LEE ; Dong Beak KANG ; Suck Chei CHOI
The Korean Journal of Gastroenterology 2009;53(6):369-372
Paraduodenal hernias are rare congenital malrotational anomalies of midgut that arise in the potential spaces and folds of the posterior parietal peritoneum adjacent to the ligament of Treitz and can lead to intestinal obstruction. Also, they have shown several presentation patterns, such as asymptomatic, chronic intermittent abdominal pain, and acute severe abdominal pain. If symptomatic hernias with strangulation are untreated, according to the previous reports, they lead to overall mortality exceeding 50%. We report a case of the left paraduodenal hernia combined with small bowel obstruction from the patient who had no history of surgery before and developed abdominal pain after drinking of alcohol heavily. Abdominal CT scan showed sac-like mass of clustered in the left upper quadrant. The patient underwent the surgery of the bowel reduction and adhesiolysis and got uneventful recovery.
Abdominal Pain
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Diagnosis, Differential
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Duodenal Diseases/complications/*diagnosis/pathology
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Hernia/complications/*diagnosis/pathology
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Humans
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Intestinal Obstruction/complications/*diagnosis/pathology
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Male
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Middle Aged
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Tomography, X-Ray Computed
8.Large Brunner's gland hamartoma with annular stricture causing gastric outlet obstruction.
In Tae HWANG ; Young Bum CHO ; Dong Eun PARK ; Keum Ha CHOI ; Tae Hyeon KIM
The Korean Journal of Internal Medicine 2016;31(2):392-395
No abstract available.
Adult
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Biopsy
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*Brunner Glands/pathology/surgery
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Duodenal Diseases/*complications/diagnosis/surgery
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Duodenal Obstruction/diagnosis/*etiology/surgery
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Duodenoscopy
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Gastric Outlet Obstruction/diagnosis/*etiology/surgery
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Hamartoma/*complications/diagnosis/surgery
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Humans
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Male
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Tomography, X-Ray Computed
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Treatment Outcome
9.Enterobiliary Fistula as a Complication of Eosinophilic Gastroenteritis: a Case Report.
Korean Journal of Radiology 2008;9(3):275-278
Eosinophilic gasteroenteritis is an uncommon disease with variable clinical features characterized by eosinophilic infiltration. Clinical manifestations range from non-specific gastrointestinal complaints such as nausea, vomiting, crampy abdominal pain, and diarrhea to specific findings such as malabsorption, protein loosing enteropathy, luminal obstruction, eosinophilic ascites and effusion. We report here on a case of eosinophilic gastroenteritis causing enterobiliary fistula which is an extremely unusual complication.
Aged
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Biliary Fistula/diagnosis/*etiology
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Cholangiopancreatography, Magnetic Resonance
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Duodenal Diseases/*etiology
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Eosinophilia/complications
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Gastroenteritis/*complications
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Humans
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Intestinal Fistula/diagnosis/*etiology
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Male