title: [A case of enterolith ileus secondary to acute pancreatitis associated with a juxtapapillary duodenal diverticulum].
abstract: A 63-year-old woman with abdominal pain was referred to our hospital. Her pancreatic enzymes were elevated, and an abdominal computed tomography (CT) scan showed an enlarged pancreas, consistent with pancreatitis, and gas collection containing an impacted stone adjacent to Vater's papilla. This finding raised the suspicion of a duodenal diverticulum. A subsequent ERCP showed a juxtapapillary duodenal diverticulum (JPDD) filled with calculi and pus. The pancreatitis improved with 2 weeks of conservative treatment. Subsequently, the patient underwent resection of the uterus and bilateral adnexa to remove a large ovarian cyst that was also identified on the admission CT scan. On the third postoperative day, she developed abdominal pain and vomiting. CT revealed small bowel obstruction caused by an enterolith expelled from JPDD. Enterotomy was performed to remove the stone. To our knowledge, only three similar cases have been previously reported in Japan.
authors.affiliation: Department of Gastroenterology, Matsudo City Hospital.
authors.forename: Shinji
authors.initials: S
authors.lastname: Morii
authors.forename: Yoko
authors.initials: Y
authors.lastname: Doi
authors.forename: Tomoo
authors.initials: T
authors.lastname: Makita
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Takeda
authors.forename: Seiki
authors.initials: S
authors.lastname: Miura
authors.forename: Takaaki
authors.initials: T
authors.lastname: Kaneko
authors.forename: Shuichi
authors.initials: S
authors.lastname: Saito
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Okabe
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D004240:Diverticulum / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D005260:Female; D006801:Humans; D045823:Ileus / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D007579:Jejunal Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D008875:Middle Aged; D010195:Pancreatitis / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed