首页|Duodenal obstruction following acute pancreatitis caused by a large duodenal diverticular bezoar

Duodenal obstruction following acute pancreatitis caused by a large duodenal diverticular bezoar

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Bezoars are concretions of indigestible materials in the gastrointestinal tract.It generally develops in patients with previous gastric surgery or patients with delayed gastric emptying.Cases of periampullary duodenal divericular bezoar are rare.Clinical manifestations by a bezoar vary from no symptom to acute abdominal syndrome depending on the location of the bezoar.Biliary obstruction or acute pancreatitis caused by a bezoar has been rarely reported.Small bowel obstruction by a bezoar is also rare,but it is a complication that requires surgery.This is a case of acute pancreatitis and subsequent duodenal obstruction caused by a large duodenal bezoar migrating from a periampullary diverticulum to the duodenal lumen,which mimicked pancreatic abscess or microperforation on abdominal computerized tomography.The patient underwent surgical removal of the bezoar and recovered completely.

BezoarDiverticulumPancreatitisDuodenal obstruction

Ji Hun Kim、Jae Hyuck Chang、Sung Min Nam、Mi Jeong Lee、Il Ho Maeng、Jin Young Park、Yun Sun Im

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Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul 137-701,South Korea

2012

世界胃肠病学杂志(英文版)
太原消化病研治中心

世界胃肠病学杂志(英文版)

SCI
影响因子:1.001
ISSN:1007-9327
年,卷(期):2012.18(38)
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