A case of diverticulitis in the horizontal part of the duodenum

A 38-year-old woman was referred to our department to investigate epigastric discomfort. Laboratory studies showed increases in the peripheral white blood cell count and the level of C-reactive protein. Abdominal computed tomography depicted inflammation and a mass in the horizontal part of the duod...

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Bibliographic Details
Published inNippon Shōkakibyō Gakkai zasshi Vol. 118; no. 12; p. 1137
Main Authors Ujita, Wataru, Takuma, Kensuke, Namiki, Moeko, Watanabe, Koji, Yamada, Yuto, Hara, Seiichi, Kishimoto, Yui, Ito, Ken, Okano, Naoki, Igarashi, Yoshinori
Format Journal Article
LanguageJapanese
Published Japan 10.12.2021
Subjects
Adult
Diverticulitis - diagnostic imaging
Diverticulum
Duodenal Diseases - diagnostic imaging
Duodenum - diagnostic imaging
Female
Humans
Laparoscopy
Online AccessGet more information
ISSN0446-6586
DOI10.11405/nisshoshi.118.1137

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Summary:A 38-year-old woman was referred to our department to investigate epigastric discomfort. Laboratory studies showed increases in the peripheral white blood cell count and the level of C-reactive protein. Abdominal computed tomography depicted inflammation and a mass in the horizontal part of the duodenum. To observe it directly, we performed esophagogastroduodenoscopy (EGD), but it was very difficult to reach the lesion. Therefore, we performed enteroscopy by using SIF-H290S (Olympus Europa SE & Co. KG, Hamburg, Germany), which revealed a diverticulum containing food residue in the horizontal part of the duodenum. Using grasping forceps, we removed the food residue. The patient recovered over the next several days. Endoscopic therapy was thus effective for duodenal diverticulitis caused by food residue, but attention to technique was necessary.
ISSN:0446-6586
DOI:10.11405/nisshoshi.118.1137