A Rare Case of Extraluminal Duodenal Diverticula Complicated with Duodenal Obstruction and Cholangitis
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We report a case of duodenal obstruction caused by a large extraluminal duodenal diverticulum. A 76-year-old woman was admitted for epigastric pain, appetite loss and vomiting. Abdominal computed tomography (CT) showed marked dilatation of the duodenum and a large diverticulum filled with undigested food at the third portion of the duodenum. It also demonstrated cholangitis with fluid collection surrounding the gall bladder. It was considered that elevation of the intraluminal pressure of the duodenum had caused cholangitis, and an ileus tube was inserted into the duodenum to reduce the intraluminal pressure. The cholangitis improved immediately, however obstruction of the duodenum persisted, so we performed surgery. A laparotomy showed that the diverticulum, 7 cm in diameter, was filled with undigested vegetable matter and had caused extraluminal compression of the duodenum leading to duodenal obstruction. We resected the diverticulum. The patient's postoperative course was uneventful.
- 一般社団法人 日本消化器外科学会の論文
一般社団法人 日本消化器外科学会 | 論文
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