Intraluminal duodenal (“windsock”) diverticulum: a rare cause of biliary obstruction and acute pancreatitis in the adult

Karagyozov, Petko; Tishkov, Ivan; Georgieva, Zhenya; Boeva, Irina; Tzankov, D.

doi:10.1055/a-0808-3834

Cited by 6 publications

(4 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Endoscopic treatment is the preferable approach as a less invasive procedure without major adverse effects. Endoscopic techniques include simple needle-knife incision (diverticulotomy), partial snare resection (diverticulectomy), endoscopic retrograde cholangiopancreatography (ERCP), and sphincterotomy with balloon dilation [7][8][9][10][11]. Furthermore, a new endoscopic technique for diverticulectomy has been exploited with impressive results including a 2-channel endoscope [10] and an expandable metallic stent inserted into the diverticulum [11].…”

Section: Biliopancreatic Manifestationmentioning

confidence: 99%

“…Nowadays, with advancements in endoscopy and imaging; endoscopic diverticulotomy or diverticulectomy is the treatment of choice. The endoscopy approach includes using needle-knife papillotomy, sphincterotomy, argon plasma coagulation, yttrium aluminum garnet (YAG) laser, and endostapler have been described [7][8][9][10][11][12][13][14][15][16][17]. In a study by Bhalla et al, the use of a novel technique reported as submucosal dissection scissors (SB knife, (Olympus, Shinjuku City, Tokyo, Japan)) and blended the longitudinal wall by electrocautery showed resolution of symptoms [14].…”

Section: Obstructionmentioning

confidence: 99%

See 1 more Smart Citation

An Uncommon Case of Intraluminal Duodenal Diverticulum Complicated by Recurrent Gastrointestinal Bleeding and Small Bowel Obstruction

Ta¹,

Sandhu²,

Mouchli³

2022

Cureus

View full text Add to dashboard Cite

Intraluminal duodenal diverticulum (IDD) is a rare congenital anomaly resulting from the failure of the duodenum to recanalize during embryogenesis leaving a duodenal diaphragm or web within the lumen of the duodenum. In theory, the peristaltic force gradually stretches the tissue over time forming a diverticulum within the duodenal lumen. Identification of IDD by endoscopy or diagnostic imaging can be difficult, these lesions can be mistaken for other lesions or the collapsed diverticulum can be overlooked. The median age of presentation is the fourth decade. Although most cases are asymptomatic, some can present with vague abdominal complaints such as bloating, nausea, abdominal discomfort, or pain. Complications of IDD are intestinal bleeding, biliary pancreatic symptoms, intestinal obstruction, and perforation. Management of IDD complications could be challenging since data are limited. We present an unusual case of a 78-year-old female presenting with acute chest pain, palpitations, and incidental findings of IDD and pancreatic divisum. Her course was complicated by recurrent gastrointestinal bleeding and small bowel obstruction.

show abstract

Section: Biliopancreatic Manifestationmentioning

confidence: 99%

Section: Obstructionmentioning

confidence: 99%

An Uncommon Case of Intraluminal Duodenal Diverticulum Complicated by Recurrent Gastrointestinal Bleeding and Small Bowel Obstruction

Ta¹,

Sandhu²,

Mouchli³

2022

Cureus

View full text Add to dashboard Cite

show abstract

“…The clinical manifestations of duodenal duplications may be asymptomatic or symptomatic and depend on the stage of development and size. When a duplication is enlarged, bleeding, perforated, or obstructed, patients may experience recurrent episodes of pain, hemorrhage, and pancreatitis (3)(4)(5). To diagnose, a duodenal duplication is very challenging because there are no specific characteristics.…”

Section: Introductionmentioning

confidence: 99%

Intraluminal Diverticular Duodenal Duplication With Recurrent Abdominal Pain: A Case Report

et al. 2022

View full text Add to dashboard Cite

Duodenal duplication is a rare congenital anomaly and may manifest as pancreatitis, gastrointestinal bleeding, abdominal pain, perforation, and obstruction. Here, we present a case of intraluminal diverticular duodenal duplication (IDDD) in a child with recurrent abdominal pain caused by a large hole-like structure in the duodenal bulb. This condition has rarely been reported. An 11-year-old boy presented with recurrent attacks of abdominal pain. Upper endoscopy examination and barium swallowing led to an initial diagnosis of IDDD; this diagnosis was confirmed by operative findings and histopathological signs. He underwent a subtotal excision and duodenal anastomosis. No serious complications occurred following treatment. The patient was followed up for 8 months, and his condition improved without symptoms.

show abstract

“…The incidence of duodenal diverticula is estimated at 22% of the population in autopsy [2,3], with only 5% of those presenting symptoms [3] and only 1-2% of patients requiring surgery [4]. Duodenal diverticula can demonstrate a wide spectrum of symptoms due to compression of the surrounding organs, cholestasis, haemorrhage, inflammation or perforation [3,[5][6][7][8][9][10][11][12]. Perforation is an extremely rare complication and until 2013 only 162 cases were described in the literature [3,13].…”

Section: Introductionmentioning

confidence: 99%

Duodenal diverticulum perforation mimicking acute cholecystitis- case reports and literature review

Łącka¹,

Hać²

2022

Eur J Trans Clin Med

View full text Add to dashboard Cite

Background: Duodenal diverticula affect a large part of the population. It is a congenital abnormality that develops over time. The incidence of duodenal diverticulum is estimated at 22% of the population in autopsies. Only 5% of patients present symptoms and of those only 1-2% require surgery. Material and methods: We describe two patients who underwent surgery due to duodenal diverticulum perforation mimicking acute cholecystitis. Results: Perforation of the duodenal diverticulum, combined the difficulty of treatment and potential for complications, is a disease with a high mortality rate. It is a subtle and difficult diagnosis due to the unspecific symptoms and a lack of generalized peritonitis. The rarity and the wide spectrum of the disease, in combination with additional factors to be considered, mean there is no standard treatment. Depending on the patient�s general condition, disease advancement, age and pathological findings observable only during surgery, we can choose between conservative treatment and a wide spectrum of surgical methods. Conclusions: Duodenal diverticular disease rarely gives any symptoms. However, even after the onset of symptoms, only 1-2% of patients require surgery. Our work is unique because we present two cases, each treated via different approach, conservative and surgical.

show abstract

Intraluminal duodenal (“windsock”) diverticulum: a rare cause of biliary obstruction and acute pancreatitis in the adult

Cited by 6 publications

References 5 publications

An Uncommon Case of Intraluminal Duodenal Diverticulum Complicated by Recurrent Gastrointestinal Bleeding and Small Bowel Obstruction

An Uncommon Case of Intraluminal Duodenal Diverticulum Complicated by Recurrent Gastrointestinal Bleeding and Small Bowel Obstruction

Intraluminal Diverticular Duodenal Duplication With Recurrent Abdominal Pain: A Case Report

Duodenal diverticulum perforation mimicking acute cholecystitis- case reports and literature review

Contact Info

Product

Resources

About