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World J Gastrointest Endosc. Mar 16, 2011; 3(3): 62-63
Published online Mar 16, 2011. doi: 10.4253/wjge.v3.i3.62
Published online Mar 16, 2011. doi: 10.4253/wjge.v3.i3.62
Duodenal diverticulum and associated pancreatitis: case report with brief review of literature
Mian Muhammad Rizwan, Harpeet Singh, VP Chandar, Maria Zulfiqar, Veera Singh, Department of Internal Medicine, Prince George’s Hospital, MD 20785, United States
Author contributions: Rizwan MM, Singh H and Chandar VP supplemented the data about the patient; Zulfiqar M and Singh V reviewed the literature and analyzed the data; and Rizwan MM wrote the paper.
Correspondence to: Mian Muhammad Rizwan MD, Department of Internal Medicine, Prince George’s Hospital, 3001 Hospital Drive, Cheverly, MD 20785, United States. mmrizwan1@hotmail.com
Telephone: +1-301-6183776 Fax: +1-301-6182986
Received: August 30, 2010
Revised: December 25, 2010
Accepted: January 1, 2011
Published online: March 16, 2011
Revised: December 25, 2010
Accepted: January 1, 2011
Published online: March 16, 2011
Abstract
Pancreatitis in the elderly is a problem of increasing occurrence and is associated with severe complications. Periampullary diverticula (PAD) are extraluminal outpouchings of the duodenum rarely associated with pancreatitis. The presence of PAD should be excluded before diagnosing idiopathic pancreatitis, particularly in the elderly. However, when a duodenal diverticulum is found in the absence of any additional pathology, only then should the symptoms be attributed to the diverticulum. We describe a case of duodenal diverticulum presenting with pancreatitis to emphasize the importance of this commonly neglected etiology.