Duodenal diverticulitis accompanied by abscess formation treated successfully using an endoscopic nasobiliary drainage catheter: a case report.
Diverticulitis and diverticular abscesses are rare and potentially serious complications of duodenal diverticulum. These conditions often lead to perforation of the diverticulum, necessitating surgical treatment. There have been few reported cases of duodenal diverticulitis with or without perforation treated by endoscopic drainage. Here, we present a case of duodenal diverticulitis accompanied by abscess formation that was treated successfully with an endoscopic nasobiliary drainage catheter. We suggest this treatment could be an acceptable option for selected patients with a localized abscess that is resistant to conservative treatment.
Department of Gastroenterology and Hepatology, JA Niigata Medical Center Hospital, 3-27-11 kobari, Nishiku, Niigata, 950-2022, Japan. ytamura@med.niigata-u.ac.jp.
Yasushi
Y
Tamura
Department of Gastroenterology and Hepatology, JA Niigata Medical Center Hospital, 3-27-11 kobari, Nishiku, Niigata, 950-2022, Japan.
Masato
M
Hayakawa
Department of Gastroenterology and Hepatology, JA Niigata Medical Center Hospital, 3-27-11 kobari, Nishiku, Niigata, 950-2022, Japan.
Masato
M
Isogawa
Department of Gastroenterology and Hepatology, JA Niigata Medical Center Hospital, 3-27-11 kobari, Nishiku, Niigata, 950-2022, Japan.
Tadayuki
T
Togashi
Department of Gastroenterology and Hepatology, JA Niigata Medical Center Hospital, 3-27-11 kobari, Nishiku, Niigata, 950-2022, Japan.
Masato
M
Igarashi
Department of Gastroenterology and Hepatology, JA Niigata Medical Center Hospital, 3-27-11 kobari, Nishiku, Niigata, 950-2022, Japan.
Sumio
S
Takahashi
Department of Gastroenterology and Hepatology, JA Niigata Medical Center Hospital, 3-27-11 kobari, Nishiku, Niigata, 950-2022, Japan.
Yutaka
Y
Aoyagi
D000038:Abscess / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D000328:Adult; D002408:Catheters, Indwelling; D004238:Diverticulitis / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D004322:Drainage / Q000379:methods*; D004378:Duodenal Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D005260:Female; D006801:Humans; D014057:Tomography, X-Ray Computed
Conservative management; Duodenal diverticulitis; Endoscopic nasobiliary drainage