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A 46-year-old previously fit lady was admitted with acute pancreatitis. She had no history of gallstones. She was not on any medications and consumed minimal amounts of alcohol. On subsequent investigations as to the causative factor, she was found at ultrasound to have an air-fluid filled cystic structure posterior to the head of pancreas which wa...
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Background
Presence of pancreatic/extrapancreatic necroses (PN/EPN) is an important prognostic indicator in acute pancreatitis (AP) and their early detection is a challenge. Endoscopic ultrasound (EUS) provides high resolution images of pancreas but there is paucity of data on its role in AP.
Methods
Consecutive patients with AP seen at our center...
Citations
... Thus, in a patient suffering from pancreatitis with dilated bile ducts but no gallstones, the diagnosis of perivaterian abscess should be considered. Radiological diagnosis of these abscesses can be difficult [20]. ...
Introduction. Acute pancreatitis is usually caused by biliary lithiasis and alcohol consumption. Pancreatitis in the elderly is a problem of increasing occurrence. Anatomic abnormalities may represent a less frequent, but important etiological factor. The duodenal diverticula rarely produce signs of inflammation, obstruction, hemorrhage or perforation. In some cases secondary biliary-pancreatic complications are found when a diverticulum originates from the papilla of Vater. Case Report. This case report describes a patient diagnosed with duodenal diverticulum who developed a framework of abdominal pain and laboratory findings compatible with acute pancreatitis which occurred two times in a short period of time. Conclusion. The association of duodenal diverticulum and acute pancreatitis has been reported, but it is important to point out that anatomic abnormalities may represent a less frequent but important etiological factor for acute pancreatitis.
Duodenal diverticula are the second most common type of digestive diverticula after those in the colon. They are present in approximately 27% of patients who undergo upper digestive endoscopy. Most of these diverticula, especially those located near the papilla, are asymptomatic. However, in rare cases, they can be associated with obstructive jaundice (Lemmel Syndrome), bacterial infection, pancreatitis, or bleeding. In this report, we present two cases of acute obstructive pancreatitis caused by duodenal diverticulitis. Both patients were managed conservatively, resulting in a positive outcome.
