A CASE OF INTRALUMINAL DUODENAL DIVERTICULUM WITH HEMATOEMESIS AND MELENA

Intraluminal Duodenal (“Windsock”) Diverticulum: A Rare Cause of Gastrointestinal Bleeding

A 67-year-old man was admitted to the emergency department with a recent history of melena and progressive fatigue. He had a past medical history of hypertension, dyslipidemia, ischemic heart disease, chronic renal failure and was on antiaggregation therapy. Physical examination showed pallor and hemodynamic stability. Laboratory workup revealed normocytic anemia (hemoglobin 9 g/dL; normal: 13-...

Intraluminal duodenal diverticulum treated with an endoscopic procedure.

A 20-year-old woman was referred to our hospital for recurrent postprandial epigastric pain and vomiting. Physical examination revealed no abdominal mass, and laboratory datawere within normal limits except for slight elevation of serum amylase (301U/l). Esophagogastroduodenoscopy identified double duodenal lumens at the inferior duodenal flexure (●" Fig.1a). One lumen was discovered to lead in...

Recurrent pancreatitis caused by a huge intraluminal duodenal diverticulum.

A 34-year-old man presented with abdominal pain radiating to the back. He reported several similar episodes in the preceeding years and consecutively had lost 22 pounds in weight. The patient denied alcohol abuse. Laboratory investigations suggested biliary pancreatitis (lipase 4580 U/L, bilirubin 2.4 mg/dl, γ-GT 317 U/L). Physical examination was unremarkable except for moderate epigastric ten...

Surgical Management of Symptomatic Intraluminal Duodenal Diverticulum in an Adolescent

Intraluminal duodenal diverticulum causing recurrent pancreatitis: treatment by endoscopic incision.

Intraluminal duodenal diverticulum is a recognised but rare cause of acute pancreatitis. This patient had three attacks of pancreatitis, each requiring a stay in hospital, within a four month period. The apex of the diverticulum was incised endoscopically, whereupon peas and food debris gushed from the incision site. The patient has had no further symptoms in the 12 months since the endoscopic ...