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| http://dx.doi.org/10.11604/pamj.2015.22.259.7784 | DOI Listing |
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Small-bowel diverticulosis is relatively common, but there is no set treatment strategy for duodenal diverticulitis with stone impaction. A woman aged in her 70s presented with a chief complaint of abdominal pain, and she had been reconstructed by the Roux-en-Y method after total gastrectomy. We performed an enhanced computed tomography which revealed edematous wall thickening of the duodenum.
View Article and Find Full Text PDFSubhepatic Appendicitis With Appendicular Diverticulitis: A Rare Combination for Acute Abdomen.
Cureus
September 2024
Department of Surgery, Beaumont Hospital, Dublin, IRL.
Subhepatic appendicitis is an unusual presentation of acute appendicitis (AA). Similarly, another uncommon condition that resembles AA is appendiceal diverticulitis (AD), which is a rare form of vermiform appendix pathology. It is exceedingly uncommon for the two to occur simultaneously.
View Article and Find Full Text PDFSuccessful Endoscopic Drainage of Acute Duodenal Diverticulitis Complicated by Abscess.
ACG Case Rep J
September 2024
Department of Gastroenterology and Advanced Endoscopy, Brooke Army Medical Center, Fort Sam Houston, San Antonio, TX.
Duodenal diverticulitis complicated by abscess formation is a rare clinical entity, albeit may, in some cases, be associated with significant morbidity and mortality. We present a unique case that elucidates the success of endoscopic management of duodenal diverticulitis complicated by an abscess in the third part of the duodenum, through forward-viewing endoscopic maneuvers. Although surgery has been the primary interventional strategy for complicated duodenal diverticulitis beyond medical management, endoscopy is shown to be a safe and effective alternative in the clinically stable patient and/or poor surgical candidate, for this uncommon sequela of duodenal diverticulosis.
View Article and Find Full Text PDFPerforated Jejunal Diverticulitis: Surgical and Antibiotic Management.
Cureus
August 2024
Internal Medicine, Crestwood Medical Center, Huntsville, USA.
Small bowel diverticulitis occurs at a rate of 0.06% to 1.3%, mainly in individuals over 50, peaking between ages 60 and 70.
View Article and Find Full Text PDFLemmel Syndrome: A Surgical Enigma.
Cureus
July 2024
Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.
A periampullary diverticulum (PAD) is the most common type of duodenal diverticula found in patients undergoing upper gastrointestinal tract assessments. Even while PAD typically does not manifest any symptoms, it can nevertheless be a source of obstructive jaundice in the absence of a tumor or choledocholithiasis, a condition known as Lemmel's syndrome. We report a case of a 60-year-old woman who presented with abdominal discomfort and multiple episodes of vomiting.
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