title: Recurrent bacterial cholangitis due to a juxtapapillary diverticulum.
abstract: 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.
authors: Department of Internal Medicine and Gastroenterology, Ikazia Hospital, Rotterdam, The Netherlands.
authors: Cornelis
authors: C
authors: van Nieuwkoop
authors: Ingrid
authors: I
authors: Boere
authors: Paul A M
authors: PA
authors: Rosekrans
authors: Dirk Jan
authors: DJ
authors: Bac
mesh_terms: 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