[A case of an intraluminal duodenal diverticulum managed with endoscopic incision and ligation using needle-knife and detachable snare].
An intraluminal duodenal diverticulum (IDD) is a rare congenital anomaly consisted of a sac-like mucosal projection within the second portion of the duodenum. Even though most of cases are asymptomatic, patients may develop recurrent abdominal pain, pancreatitis, and gastrointestinal bleeding. We report a case of symptomatic IDD which presented as acute pancreatitis and obscure gastrointestinal bleeding. Diagnosis was made by typical findings of upper GI series and coronal reformatted CT images. Although surgical resection is the treatment of choice, endoscopic incision and ligation with detachable snare was performed which led to a good result.
Park
Young Dae
YD
Department of Internal Medicine, College of Medicine, Kyungpook National University, University Hospital, 50 Samdeok 2-ga, Jung-gu, Daegu, Korea.
Chung
Yun Jin
YJ
Jeon
Seong Woo
SW
Cho
Chang Min
CM
Tak
Won Young
WY
Kweon
Young Oh
YO
Kim
Sung Kook
SK
Choi
Yong Hwan
YH
D000208:Acute Disease; D000328:Adult; D004240:Diverticulum / Q000000981:diagnostic imaging / Q000601:surgery*; D004378:Duodenal Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D020776:Endoscopes, Gastrointestinal; D016099:Endoscopy, Gastrointestinal; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis; D006801:Humans; D010195:Pancreatitis / Q000175:diagnosis; D011859:Radiography