Juxtapapillary duodenal diverticulum causing pancreatobiliary problems - case report and literature review

Česká verzia

Authors: J. Trna ^1,2; I. Penka ³ ; B. Buliková ¹; V. Zbořil ¹; I. Novotný ³
Authors place of work: Interní gastroenterologická klinika FN a LF Masarykovy univerzity, Brno přednosta: prof. MUDr. A. Hep, CSc. ¹; Interní oddělení Nemocnice Boskovice přednosta: prim. MUDr. L. Pluháček, Ph. D. ²; Chirurgická klinika FN Brno a LF Masarykovy univerzity, Brno přednosta prof. MUDr. Z. Kala, CSc. ³
Published in the journal: Rozhl. Chir., 2016, roč. 95, č. 7, s. 294-297.
Category: Kazuistika

Summary

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.

Endoscopic sphincterotomy is considered to be the treatment of the first choice, with surgery (diverticulectomy and/or biliodigestive anastomosis) reserved for cases where the minimally invasive approach fails.

Key words:
juxtapapillary duodenal diverticulum − obstructive jaundice − acute pancreatitis − endoscopic papilosphincterotomy − biliodigestive anastomosis

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