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Recurrent acute pancreatitis and intraluminal duodenal diverticulum
S Willemer1, H Dombrowski, G Adler
1Department of Gastroenterology and Radiology, Philipps-University, Marburg, Germany.
Pancreas
|January 1, 1992
Summary
Intraluminal duodenal diverticulum (IDD) can cause recurrent acute pancreatitis. Surgical resection of the IDD resolved symptoms in a young patient, suggesting a causal link.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
- Pancreatology
Background:
- Recurrent acute pancreatitis presents a diagnostic challenge.
- Intraluminal duodenal diverticulum (IDD) is a rare congenital anomaly.
- Pancreas divisum is a common congenital anomaly of the pancreaticobiliary system.
Observation:
- A 22-year-old male presented with recurrent episodes of acute pancreatitis.
- Diagnostic imaging revealed an intraluminal duodenal diverticulum (IDD) and partial pancreas divisum.
- The patient underwent surgical resection of the duodenal diverticulum.
Findings:
- Post-operatively, the patient experienced complete resolution of acute pancreatitis symptoms.
- Histopathological examination confirmed the diagnosis of IDD.
Implications:
- This case suggests a potential etiological role for IDD in recurrent acute pancreatitis.
- Surgical management of IDD may be an effective treatment for associated pancreatitis.
- Further research is warranted to elucidate the relationship between IDD and pancreatic inflammation.