title: Duodenal diverticulum associated with annular pancreas: a rare cause of severe cholangitis.
abstract: Duodenal diverticulum is a common occurrence but most are asymptomatic. However, in some cases, they can cause mechanical biliary compression. We report the case of a duodenal diverticulum in a 64-year-old woman revealed by severe cholangitis with septic shock and a liver abscess. Associated annular pancreas was found. We discuss the various investigations to diagnose these two entities as well as the therapeutic strategy in this unique combination of disease.
authors.affiliation: Service de chirurgie générale et digestive, CHU Habib Bourguiba, 3029 Sfax, Tunisia.
authors.forename: H
authors.initials: H
authors.lastname: Ben Ameur
authors.forename: S
authors.initials: S
authors.lastname: Boujelbene
authors.forename: N
authors.initials: N
authors.lastname: Affes
authors.forename: A
authors.initials: A
authors.lastname: Ghorbel
authors.forename: M I
authors.initials: MI
authors.lastname: Beyrouti
mesh_terms: D002761:Cholangitis / Q000209:etiology*; D004240:Diverticulum / Q000150:complications* / Q000175:diagnosis; D004378:Duodenal Diseases / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006801:Humans; D008875:Middle Aged; D010179:Pancreas / Q000002:abnormalities; D010182:Pancreatic Diseases / Q000150:complications* / Q000175:diagnosis; D014057:Tomography, X-Ray Computed