Recurrent bacterial cholangitis due to a juxtapapillary diverticulum.
We present a patient with recurrent bacterial cholangitis. Endoscopic retrograde cholangiopancreatography did not show evidence for choledocholithiasis or obstructing abnormalities of the common bile duct. However, a juxtapapillary diverticulum was situated at the edge of the papilla of Vater. We postulate that a juxtapapillary diverticulum can obstruct biliary flow due to its anatomical relation with the papilla, which may predispose to bacterial cholangitis. This might be prevented by sphincterotomy of the papilla.
van Nieuwkoop
Cornelis
C
Department of Internal Medicine and Gastroenterology, Ikazia Hospital, Rotterdam, The Netherlands.
Boere
Ingrid
I
Rosekrans
Paul A M
PA
Bac
Dirk Jan
DJ
D002760:Cholangiopancreatography, Endoscopic Retrograde; D002761:Cholangitis / Q000209:etiology* / Q000382:microbiology; D004240:Diverticulum / Q000150:complications* / Q000175:diagnosis; D004378:Duodenal Diseases / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D007710:Klebsiella Infections / Q000209:etiology; D007711:Klebsiella pneumoniae; D008297:Male; D008875:Middle Aged; D012008:Recurrence