CASE REPORT

JOP. J Pancreas (Online) 2004; 5(3):148-150.

Juxta-Ampullary Intraluminal Diverticulum and Acute Pancreatitis

Miguel Echenique-Elizondo

Department of Surgery, Basque Country University School of Medicine. San Sebastián, Spain

ABSTRACT

Context Acute pancreatitis is usually due to well-known causes, such as biliary lithiasis and alcohol consumption. Anatomic abnormalities may represent a less frequent but important etiological factor.

Case report The case of a 27 year old women complaining of acute pancreatitis associated with a large duodenal juxta-papillary diverticulum is presented.

Conclusions Anatomic causes of pancreatitis must be considered in the diagnosis of the etiology of acute pancreatitis.

Full text  HTML format  PDF format

References

  1. Kimura W, Nagai H, Kuroda A, Muto T. No significant correlation between histologic changes of the papilla of Vater and juxtapapillary diverticulum. Special reference to the pathogenesis of gallstones. Scand J Gastroenterol 1992; 27:951-6. [More details]

  2. Leivonen MK, Halttunen JA, Kivilaakso EO. Duodenal diverticulum at endoscopic retrograde cholangiopancreatography, analysis of 123 patients. Hepatogastroenterology 1996; 43:961-6. [More details]

  3. Psathakis D, Utschakowski A, Muller G, Broll R, Bruch HP. Clinical significance of duodenal diverticula. J Am Coll Surg 1994; 178:257-60. [More details]

  4. Zoepf T, Zoepf DS, Arnold JC, Benz C, Riemann JF. The relationship between juxtapapillary duodenal diverticula and disorders of the biliopancreatic system: analysis of 350 patients. Gastrointest Endosc 2001; 54:56-61. [More details]

  5. Sugiyama M, Atomi Y. Periampullary diverticula cause pancreatobiliary reflux. Scand J Gastroenterol 2001; 36:994-7. [More details]

Keywords Ampulla of Vater; Diverticulum; Duodenum; Pancreatitis; Pancreatitis, Acute Necrotizing

Correspondence Miguel Echenique-Elizondo: gepecelm@sc.ehu.es