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]

We present a case of an inverted duodenal diverticulum in a patient that presented with an upper intestinal obstruction. [academic.oup.com]

• Inflammation

  This may result in all the signs and symptoms of intra-abdominal inflammation including pain, fever, and abdominal tenderness. [medicinenet.com]

  We report a case of superior mesenteric vein thrombosis resulting from an inflamed duodenal diverticulum with associated inflammation of the uncinate process of the pancreas. [ncbi.nlm.nih.gov]

• 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]

• Surgical Procedure

  Pinotti, H.W., Tacla, M., Pontes, J.F., Bettarello, A.: Surgical procedures upon juxtaampullar duodenal diverticula. Surg. Gynecol. Obstet. 135 :11, 1972 Google Scholar 11. [link.springer.com]

  Surgical procedures infrequently used include the stapled diverticulectomy with gastrojejunostomy, and inversion; these are simpler and safer procedures, especially in elderly high risk patients with co-morbid conditions. References 1. [tropicalgastro.com]

  Buster29 Post 1 My elderly mother-in-law developed a severe case of diverticulitis, and the doctor seriously considered doing a minor surgical procedure. [wisegeekhealth.com]

  The classic surgical procedures for duodenal diverticula are resection by laparotomy or laparoscopy. [library.laredo.edu]

  Surgical procedures upon juxta-ampullary duodenal diverticula. Surg Gynecol Obstet 1972;135(1):11-6. [ Links ] Correspondence to Joaquim Mendes Castilho Netto Avenida Tiradentes, 205 Centro Taubaté/SP Brasil CEP 12030-180 Tel. [scielo.br]

• Falling

  Keeping in view continued malena and fall in Hb, upper gastrointestinal (UGI) barium series with small bowel follow through was done. [japi.org]

  胃肝間膜 gastro-hepatic ligament 胃結腸間膜 gastro-colic ligament 胃脾間膜 gastro-lienal ligament (gastro-splenic ligament) 胃の形態 form of the stomach 砂時計胃 hourglass stomach, bilocular deformity 嚢状胃 wallet stomach 瀑状胃 cascade stomach, cup and spill deformity, water fall [jsge.or.jp]

  There is no communication with the duodenal lumen (*) Fig. 2 Ruptured duodenal duplication cyst in a 58-year-old man who sustained blunt trauma in a fall down stairs. a Reformatted sagittal contrast-enhanced CT shows circumferential wall thickening of [insightsimaging.springeropen.com]

• Dyspnea

  CLINICAL CASE: 78-years-old woman who attended our Emergency department with dyspnea, moderate epigastralgia, abdominal bloating, constipation and difficulty to pass gas; Laparotomy was performed to identify duodenal diverticulum in the third portion [ncbi.nlm.nih.gov]

• Nausea

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

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

  The patient had been ill for five days with nausea, vomiting, and abdominal pain, particularly in the right upper quadrant. From the [jamanetwork.com]

• Epigastric Pain

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

  Clinical History A 50-year-old female patient presented to the emergency department with sudden onset epigastric pain and vomiting. The patient revealed tenderness and localized peritonitis in the epigastric region. [eurorad.org]

  It has been on the bottom differential for chronic epigastric pain, abdominal bloating, nausea, and hyporexia, yet, almost 90% are asymptomatic. [hindawi.com]

  While the vast majority of patients are asymptomatic, patients with diverticulitis usually present with epigastric pain, nausea and vomiting. [radiopaedia.org]

  pain, early saciety, nausea or vomiting. 3,5 Less commonly, IDD may complicate with gastrointestinal bleeding, 1,3,4 pancreatitis or duodenal obstruction. 3 Endoscopic appearance may be challenging: IDD may be collapsed and pass unnoticed, a long sac [elsevier.es]

• Melena

  We report a 51-year-old man who presented with melena after NSAID intake; the diverticulum was excised surgically. [ncbi.nlm.nih.gov]

  Complicated duodenal diverticulum was the only possible cause of symptoms-abdominal pain, fever and chills, melena, vomiting-in 18 patients. [link.springer.com]

  Full Text A 67-year-old man was admitted to the emergency department with a recent history of melena and progressive fatigue. [elsevier.es]

  The patient reported developing melena 1 week before presentation. She denied any hematemesis, hematochezia, nausea, vomiting, diarrhea, constipation, abdominal pain, or chest pain. [journals.lww.com]

• Acute Abdomen

  An elderly female was admitted to our hospital with an acute abdomen. Computed tomography of the abdomen showed retroperitoneal air around the duodenum and right kidney. [ncbi.nlm.nih.gov]

  Abstract A 57-year-old woman underwent an emergent laparotomy because of acute abdomen, and a diversion operation was performed for a duodenal diverticulum perforation along with Cushing syndrome. [jstage.jst.go.jp]

  Case Report: Here, we present a case of a 70 year old, male patient who was admitted with acute abdomen and intra-operatively diagnosed as perforated duodenal diverticulum. [casereports.in]

  In fact, it is misdiagnosed in a lot of cases, and its symptoms are attributed to other causes of acute abdomen. Treatment of the perforated DD traditionally used to be surgical. [bmcgastroenterol.biomedcentral.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]

• Ulcer

  Initial gastrointestinal endoscopy revealed ulceration of the diverticulum with no active bleeding; nevertheless the ulceration was presumed to be the source of the tarry stool. [ncbi.nlm.nih.gov]

  1 Gastric Ulcer 2 Gastric Ulcer 3 Gastric Ulcer 4 Gastric Ulcer 5 Erosive Gastritis Dieulafoy Zollinger Ellison Syndrome Acute Gastritis Chronic Gastritis Follicular Gastritis Intestinal Metaplasia Gastric Varices Gastric Varices 2 Hypertensive Gastropathy [gastrointestinalatlas.com]

  These are true diverticula and are usually secondary to duodenal or periduodenal inflammation, such as from previous ulcer disease. [radiopaedia.org]

  UGI barium series showing diverticulum of second part of duodenum with ulcer crater (arrow). Fig. 2. UGI barium series showing ulcer crater in duodenal diverticulum. [japi.org]

• Excitement

  Enter a word (“newspaper”), a word combination (“exciting trip”) or a phrase (“with all good wishes”) into the search box. [es.pons.com]

  Cell, smooth muscle The smooth muscle cells, which make up the intestinal and mononuclear tube as for the vessels, can contract and generate strength, and be electrically excited. [cureus.com]

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]

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]

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]

Obstruction of the diverticulum with a food bezoar can be considered as an important clinical clue of the etiological role of the diverticulum in pancreatobiliary disease development. [muni.cz]

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]

Structures every chapter consistently to include Findings, Imaging Modalities, Clinical Presentation, Pathology, Incidence/Prevalence and Epidemiology, What the Referring Physician Needs to Know, Suggested Readings, and Selected Images to make reference [books.google.com]

Journal Journal ID (nlm-ta): Pan Afr Med J Journal ID (iso-abbrev): Pan Afr Med J Journal ID (publisher-id): PAMJ Title: The Pan African Medical Journal Publisher: The African Field Epidemiology Network ISSN (Electronic): 1937-8688 Publication date (Electronic [scienceopen.com]

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]

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]

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]

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]

Recognition of the entity and its anatomic relationships to the ampulla of Vater is essential to the prevention of iatrogenic complications. [academic.oup.com]