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Inicio Cirugía Española (English Edition) Acute Pancreatitis Secondary to Periampullary Duodenal Diverticulitis
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Vol. 95. Issue 4.
Pages 231 (April 2017)
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Acute Pancreatitis Secondary to Periampullary Duodenal Diverticulitis
Pancreatitis aguda secundaria a diverticulitis duodenal periampular
Ismael Mora-Guzmán
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, José Luis Muñoz de Nova, Íñigo García-Sanz, Elena Martín-Pérez
Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario de La Princesa, Madrid, Spain
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The patient is a 93-year-old woman with a history of recurrent acute cholecystitis and pancreatitis who came to the ER with epigastric abdominal pain radiating towards the back and nausea. Lab work showed normal inflammatory parameters, amylase 1261U/L, and hepatic profile without alterations. Computed tomography scan demonstrated multiple duodenal diverticula and detected a periampullary diverticulum with signs of local inflammation pressing on the intrapancreatic common bile duct (Figs. 1 and 2). The extrahepatic bile duct showed no alterations, although the pancreas had mild atrophy and the Wirsung duct presented moderate dilatation. The patient was hospitalized and managed conservatively; her progress was favorable and she was discharged one week later.

Fig. 1
Fig. 2
Conflicts of Interest

The authors declare no conflicts of interest.

Please cite this article as: Mora-Guzmán I, Muñoz de Nova JL, García-Sanz Í, Martín-Pérez E. Pancreatitis aguda secundaria a diverticulitis duodenal periampular. Cir Esp. 2017;95:231.

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