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Imaging Findings of an Intraluminal Duodenal Diverticulum Associated with Adult Duodeno-Duodenal Intussusception and Recurrent Pancreatitis: A Case Report

Title
Imaging Findings of an Intraluminal Duodenal Diverticulum Associated with Adult Duodeno-Duodenal Intussusception and Recurrent Pancreatitis: A Case Report
Authors
Yi G.Y.Lee J.K.Lee H.Yi S.Y.Park S.
Ewha Authors
이선영이정경박상희이희성
SCOPUS Author ID
이선영scopusscopusscopus; 이정경scopusscopusscopusscopus; 박상희scopus; 이희성scopus
Issue Date
2022
Journal Title
Journal of the Korean Society of Radiology
ISSN
1738-2637JCR Link
Citation
Journal of the Korean Society of Radiology vol. 83
Keywords
Acute PancreatitisDiverticulumEndosonographyIntussusception
Publisher
Korean Radiological Society
Indexed
SCOPUS; KCI scopus
Document Type
Article
Abstract
Intraluminal duodenal diverticulum (IDD) is a rare congenital abnormality, consisting of a sac-like mucosal lesion in the duodenum. Cases of IDD can present with gastrointestinal bleeding, duodenal obstruction, or pancreatitis. Here, we report a rare case of a 25-year-old female presenting with IDD complicated by duodeno-duodenal intussusception and recurrent pancreatitis. The diagnosis was based on findings from radiologic examinations (CT and MRI), upper gastrointestinal series (barium swallow), and gastroduodenofiberscopy. Laparoscopic excision of the presumed duodenal duplication was performed. The subsequent histopathologic evaluation of the excised sac revealed normal mucosa on both sides, but the absence of a proper muscle layer confirmed the diagnosis of IDD. Radiologic detection of a saccular structure in the second portion of the duodenum can indicate IDD with duodeno-duodenal intussusception as the lead point. Copyrights © 2021 The Korean Society of Radiology
DOI
10.3348/jksr.2021.0041
Appears in Collections:
의과대학 > 의학과 > Journal papers
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