Stomach and Intestine(Tokyo) Volume 14, Issue 6 (June 1979)

Duodenal Diverticula: Report of a Case Investigated by Fiberoptic Endoscopy A. Ono 1 , K. Mishima 1 , H. Harada 1 , K. Kamimura 2 , T. Mito 2 1The Second Department of Internal Medicine, Okayama University Medical School 2Nariwa Hospital pp.823-826
Published Date 1979/6/25
  • Abstract
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 Intraluminal duodenal diverticulum was once considered a very rare disease, but an increasing number of cases has recently been reported. In Japan, three cases have been reported so far since the first case was described by Kihara et al. in 1970. This is a case report of a 42 years old patient who was referred to our clinic because of repeated episodes of abdominal pain and marked hyperamylasemia. Upper GI series revealed a saccular radiolucent line in the descending part of the duodenum, which proved to be intraluminal duodenal diverticulum as confirmed by hypotonic duodenography and endoscopic examination. Endoscopic retrograde cholangio-pancreatography revealed normal biliary tract and mild irregularity of the pancreatic duct. Our preoperative diagnosis was intraluminal duodenal diverticulum and secondary acute relapsing pancreatitis.

 Laparotomy revealed intraluminal duodenal diverticulum accompanied by another congenital anomaly: complete annular pancreas. Resection of the diverticulum was performed but no surgical procedure was attempted on annular pancreas because no stenotic lesions were found in the duodenum and biliary tract. Histological examination of the diverticulum showed a thin septum covered by normal duodenal epithelium.

 Postoperative course of the patient has been un-eventful for nine months.

Copyright © 1979, Igaku-Shoin Ltd. All rights reserved.


14巻6号 (1979年6月)
電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院