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KMID : 0614620070490030177
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Korean Journal of Gastroenterology
2007 Volume.49 No. 3 p.177 ~ p.182
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A Case of an Intraluminal Duodenal Diverticulum Managed with Endoscopic Incision and Ligation using Needle-knife and Detachable Snare
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Park Young-Dae
Chung Yun-Jin
Jeon Seong-Woo
Cho Chang-Min
Tak Won-Young
Kweon Young-Oh
Kim Sung-Kook
Choi Yong-Hwan
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Abstract
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An intraluminal duodenal diverticulum (IDD) is a rare congenital anomaly consisted of a sac-like mucosal projection within the second portion of the duodenum. Even though most of cases are asymptomatic, patients may develop recurrent abdominal pain, pancreatitis, and gastrointestinal bleeding. We report a case of symptomatic IDD which presented as acute pancreatitis and obscure gastrointestinal bleeding. Diagnosis was made by typical findings of upper GI series and coronal reformatted CT images. Although surgical resection is the treatment of choice, endoscopic incision and ligation with detachable snare was performed which led to a good result. (Korean J Gastroenterol 2007;49:177-182)
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KEYWORD
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Duodenum, Diverticulum, Pancreatitis, Gastrointestinal hemorrhage, Endoscopy
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