Duodenal diverticulitis, Endoscopic sphincterotomy, Cholangitis"/> A Case of Duodenal Diverticulitis Mimicking Cholangitis
Korean J Gastrointest Endosc > Volume 41(3); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;41(3): 185-188.
담도염으로 오인된 십이지장 게실염 1예
권영란ㆍ조광범ㆍ김은수ㆍ박경식ㆍ김민정ㆍ김경훈ㆍ이정은ㆍ이경인
계명대학교 동산의료원 내과
A Case of Duodenal Diverticulitis Mimicking Cholangitis
Young Lan Kwon, M.D., Kwang Bum Cho, M.D., Eun Soo Kim, M.D., Kyung Sik Park, M.D., Min Joung Kim, M.D., Kyung Hun Kim, M.D., Joung Eun Lee, M.D. and Kyung In Lee, M.D.
Department of Internal Medicine, Keimyung University Dongsan Hospital, Daegu, Korea
Abstract
The duodenum ranks second to the colon as the most common site of diverticulosis in the gastrointestinal tract with a prevalence of more than 20%. It is usually asymptomatic, and rarely requires treatments for complications, including diverticulitis, hemorrhage, and luminal obstructions. Unlike diverticulosis, duodenal diverticulitis is extremely rare. Given that the radiological appearance and clinical presentation of duodenal diverticulitis often mimic those of pancreaticobiliary neoplasms or inflammations, it is a challenge for clinicians to diagnose it correctly, which often leads to misdiagnosis and inappropriate management. Here we report a case of a 69 year-old female patient with duodenal diverticulitis, whose clinical symptoms and radiological images were similar to those of acute cholangitis. We also briefly review the literature. (Korean J Gastrointest Endosc 2010;41:185-188)
Key Words: Duodenal diverticulitis, Endoscopic sphincterotomy, Cholangitis
주요어: 십이지장 게실염, 내시경유두괄약근절개술, 담도염
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