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KMID : 0931320150150020132
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대한상부위장관.헬리코박터학회지
2015 Volume.15 No. 2 p.132 ~ p.135
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A Rare Cause of Acute Upper Abdominal Pain: Diverticulitis of the 3rd Portion of the Duodenum
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안용우:Ahn Yong-Woo
이강년:Lee Kang-Nyeong/두은영:Doo Eun-Young/유기덕:Yoo Ki-Deok/김영택:Kim Young-Taek/이강원:Lee Kang-Won/이오영:Lee Oh-Young/윤병철:Yoon Byung-Chul
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Abstract
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Duodenal diverticulitis is a rare cause of upper abdominal pain and is usually not considered when evaluating patients with acute upper abdominal pain. Furthermore, the duodenum is located near the pancreas and bile duct, and duodenal diverticulitis can be misdiagnosed as acute pancreatitis, cholangitis, cholecystitis, or other pancreatobiliary disorders such as pancreatic cystic neoplasms. Recently, we experienced a rare case of duodenal diverticulitis in the 3rd portion of the duodenum. The patient presented with deep seated upper abdominal pain aggravated by supine posture and relieved by sitting up. The patient was initially diagnosed with acute pancreatitis. However, serum levels of pancreatic enzymes were normal and abdominal CT scan revealed diverticulitis in the 3rd portion of the duodenum. The patient was successfully managed conservatively. Delayed diagnosis of duodenal diverticulitis can result in substantial morbidity and mortality if duodenal perforation occurs and should be considered as a possible cause of upper abdominal pain
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KEYWORD
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Abdominal pain, Duodenal diverticulum, Diverticulitis, Pancreatitis
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