In this challenging presentation, the presence of the coin led to the correct diagnosis. Patients with congenital duodenal anomalies may present a number of associated abnormalities. [ncbi.nlm.nih.gov]

Case Presentation: A 46 year-old woman presented to our care with RUQ pain, nausea, and vomiting lasting 3-4 weeks. An ultrasound revealed dilation of the common bile duct to 12 mm, suggesting the presence of choledocholithiasis. [sages.org]

• Fever

  We report a 45-year-old woman, with a five days history of high fever along with epigastric and periumbilical pain. Physical examination revealed right upper and lower quadrant tenderness with peritoneal signs. [ncbi.nlm.nih.gov]

  Abstract An 84-year-old woman was brought to our emergency outpatient clinic with fever, epigastralgia, and back pain. On blood analysis, mild anemia and leukocytosis were noted. [jstage.jst.go.jp]

• Nausea

  A 34-year-old woman presented with epigastric pain, nausea, and dyspepsia. [ncbi.nlm.nih.gov]

  Case Presentation: A 46 year-old woman presented to our care with RUQ pain, nausea, and vomiting lasting 3-4 weeks. An ultrasound revealed dilation of the common bile duct to 12 mm, suggesting the presence of choledocholithiasis. [sages.org]

  Intense abdominal pain, nausea, and fever are typical signs of diverticulitis and should be reported to a doctor right away. [wisegeekhealth.com]

• Dyspepsia

  A 34-year-old woman presented with epigastric pain, nausea, and dyspepsia. [ncbi.nlm.nih.gov]

  Be cautious about recommending surgery for patients who have a diverticulum and vague GI symptoms (eg, dyspepsia). Click here for Patient Education [merckmanuals.com]

  91 year-old woman with dyspepsia, anemia and occult gastrointestinal bleeding. Upper endoscopy demonstrated duodenitis, deformity of the bulb suggesting prior ulcer disease, and small diverticula. [endoatlas.com]

• Right Upper Quadrant Tenderness

  Symptoms • 80 to 90% of patients are asymptomatic • One of the main symptoms include upper abdominal pain, right upper quadrant tenderness • Often accompanied by a sense of fullness or discomfort, and may have nausea, vomiting, or vomiting • Symptoms [slideshare.net]

• Claustrophobia

  It was decided to hospitalize the patient and an abdominal computed tomography was performed, as it was impossible to carry out magnetic resonance tests due to claustrophobia. [elsevier.es]

• Behavior Problem

  Because of a history of behavioral problems associated with intellectual impairment, including a compulsion to swallow coins during childhood, an abdominal radiograph was performed. [ncbi.nlm.nih.gov]

This report focuses on the significance of rare congenital anomalies of the duodenum (e.g., duplication cyst, intraluminal diverticulum) during the diagnostic workup of recurrent pancreatitis in children. [ncbi.nlm.nih.gov]

Laboratory workup showed leukocytosis of 17,200 with 86% left shift; serum liver and pancreatic function tests were normal. [hindawi.com]

Initial workup suggested leucocytosis (WBC 11000 K/uL), elevate lipase level (204 U/L) with normal total bilirubin (0.4 mg/dL) and LFTs. An abdominal ultrasound showed dilated CBD (9 mm) without evidence of gallstone. [shmabstracts.com]

Diagnostic workup is usually completed in the intensive care setting. Most patients stop bleeding, allowing elective surgery. Mesenteric angiography with infusion of vasoconstrictors can be used in persistent hemorrhage. [emedicine.medscape.com]

• Cavitary Lesion

  On CT scan and MRCP, PAD may appear as thin-walled cavitary lesions on the wall of the second portion of the duodenum. Barium studies show PAD with contrast-filled out-pouchings that arise from the wall of the descending duodenum [1]. [academic.oup.com]

• Normocytic Anemia

  Laboratory work-up revealed normocytic anemia (hemoglobin 9 g/dL; normal: 13–17), elevated blood urea nitrogen (35 mg/dL; normal: 8.4–25.7) and worsened renal failure (creatinine 3 mg/dL from a baseline of 2.2 mg/dL; normal: 0.7–1.3). [elsevier.es]

Herein, we report two cases of perforated duodenal diverticulum, one case managed with surgical treatment and one with conservative treatment. [ncbi.nlm.nih.gov]

She mentioned a medical history of Hashimoto disease under treatment. [bmcgastroenterol.biomedcentral.com]

However, it remains unclear whether excision of the diverticulum is preferred to biliodigestive anastomosis from the point of view of long-term prognosis. Subsequent surveillance is necessary. [ncbi.nlm.nih.gov]

Treatment and prognosis Complications Potential complications include 2, 3 duodenal diverticulitis hemorrhage perforation abscess formation biliary duct obstruction - Lemmel syndrome The major consideration and mimic of a duodenal diverticulum is that [radiopaedia.org]

Prognosis The prognosis is good even with complications. [emedicine.medscape.com]

Clinicopathological features and prognosis of cystic gastrointestinal stromal tumor. Zhonghua Wei Chang Wai Ke Za Zhi 2011;14:599-602. 6. Hou YY, Zhu ZX. Malignant degree of gastrointestinal stromal tumor and the impact on biological behavior. [eusjournal.com]

Conclusions: For elderly patient with recurrent acute pancreatitis without obvious etiology, ruling out a periampullary diverticulum as an etiology is worthwhile before making a diagnosis of idiopathic acute pancreatitis. [shmabstracts.com]

Conclusions :Anatomic causes of pancreatitis must be considered in the diagnosis of the etiology of acute pancreatitis. [pancreas.imedpub.com]

Though its exact etiology is not clear, diverticulum of duodenum usually occurs at weak spots in duodenal walls near the major and minor duodenal papillae. [pulsus.com]

Diagnosis is not easily made on ultrasonography, however, as our case illustrates, it should be suspected in the abscence of more common etiologies. [sages.org]

Duodenal diverticuli are acquired false diverticuli; the etiology is unknown. Most are periampullary. [onlinejets.org]

Epidemiology of cancer of the small intestine. World J Gastrointest Oncol, 3 (2011), pp. 33-42 [8] T. Løtveit. The composition of biliary calculi in patients with juxtapapillary duodenal diverticula. [elsevier.es]

Systemic sclerosis Visceral myopathy Visceral neuropathy Epidemiology United States Duodenal diverticula are approximately five times more common than jejunoileal diverticula. [emedicine.medscape.com]

[…] definitive treatment for duodenal atresia is surgery (duodenoduodenostomy or duodenojejunostomy), which may be performed openly or laparoscopically.[7] The surgery is not urgent.[1] The initial repair has a 5 percent morbidity and mortality rate.[2] Epidemiology [en.wikipedia.org]

TG13 current terminology, etiology, and epidemiology of acute cholangitis and cholecystitis. J Hepatobiliary Pancreat Sci. 2013; 20: 8-23. Ayub K, Imada R, Slavin J. [endoscopy-campus.com]

Colonic diverticulosis and diverticular disease: Epidemiology, risk factors, and pathogenesis. https://www.uptodate.com/contents/search. Accessed July 24, 2018. Tursi A, et al. [mayoclinic.org]

Pathophysiology The cause of this condition is not known. It is believed to develop as the result of abnormalities in peristalsis, intestinal dyskinesis, and high segmental intraluminal pressures. [emedicine.medscape.com]

This show brings together some of the best boards-relevant content for physiology and pathophysiology from three innovative platforms: Physeo, InsideTheBoards, and Med School Phys. [podcasts.apple.com]

Review article: The pathophysiology and medical management of diverticulosis and diverticular disease of the colon. Alimentary Pharmacology and Therapeutics. 2015;42:664. Pemberton JH, et al. [mayoclinic.org]

Pathophysiology: The cause of this condition is not known. It is believed to develop as the result of abnormalities in peristalsis, intestinal dyskinesis, and high segmental intraluminal pressures. Video Endoscopic Sequence 1 of 3. [gastrointestinalatlas.com]

He had hypertension and dyslipidemia for several years, and was taking aspirin to prevent heart disease. CT and colonoscopy revealed a diverticulum in the third portion of the duodenum, rectal polyps, and internal hemorrhoids. [ncbi.nlm.nih.gov]

Before embolization, the microcatheter was flushed with 5% glucose solution to prevent polymerization of NBCA in the microcatheter. TAE was conducted with 0.3 ml of the NBCA–Lp mixture. [springerplus.springeropen.com]

In general, if you have diverticulosis but you’re not having a diverticulitis episode, a diet high in fiber will help prevent future flare-ups. [healthline.com]

Prevention To help prevent diverticulitis: Exercise regularly. Exercise promotes normal bowel function and reduces pressure inside your colon. Try to exercise at least 30 minutes on most days. Eat more fiber. [mayoclinic.org]

Usually found in pairs on opposite sides of the bladder, bladder diverticula are often surgically removed to prevent infection, rupture, or even cancer. [en.wikipedia.org]