A case of enterolith ileus secondary to acute pancreatitis associated with a juxtapapillary duodenal diverticulum
A 63-year-old woman with abdominal pain was referred to our hospital. Her pancreatic enzymes were elevated, and an abdominal computed tomography (CT) scan showed an enlarged pancreas, consistent with pancreatitis, and gas collection containing an impacted stone adjacent to Vater's papilla. This...
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| Veröffentlicht in: | Nippon Shokakibyo Gakkai Zasshi 2015/05/05, Vol.112(5), pp.863-870 |
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| container_title | Nippon Shokakibyo Gakkai Zasshi |
| container_volume | 112 |
| creator | MORII, Shinji DOI, Yoko MAKITA, Tomoo TAKEDA, Shinichiro MIURA, Seiki KANEKO, Takaaki SAITO, Shuichi OKABE, Shinichiro |
| description | A 63-year-old woman with abdominal pain was referred to our hospital. Her pancreatic enzymes were elevated, and an abdominal computed tomography (CT) scan showed an enlarged pancreas, consistent with pancreatitis, and gas collection containing an impacted stone adjacent to Vater's papilla. This finding raised the suspicion of a duodenal diverticulum. A subsequent ERCP showed a juxtapapillary duodenal diverticulum (JPDD) filled with calculi and pus. The pancreatitis improved with 2 weeks of conservative treatment. Subsequently, the patient underwent resection of the uterus and bilateral adnexa to remove a large ovarian cyst that was also identified on the admission CT scan. On the third postoperative day, she developed abdominal pain and vomiting. CT revealed small bowel obstruction caused by an enterolith expelled from JPDD. Enterotomy was performed to remove the stone. To our knowledge, only three similar cases have been previously reported in Japan. |
| doi_str_mv | 10.11405/nisshoshi.112.863 |
| format | Article |
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Her pancreatic enzymes were elevated, and an abdominal computed tomography (CT) scan showed an enlarged pancreas, consistent with pancreatitis, and gas collection containing an impacted stone adjacent to Vater's papilla. This finding raised the suspicion of a duodenal diverticulum. A subsequent ERCP showed a juxtapapillary duodenal diverticulum (JPDD) filled with calculi and pus. The pancreatitis improved with 2 weeks of conservative treatment. Subsequently, the patient underwent resection of the uterus and bilateral adnexa to remove a large ovarian cyst that was also identified on the admission CT scan. On the third postoperative day, she developed abdominal pain and vomiting. CT revealed small bowel obstruction caused by an enterolith expelled from JPDD. Enterotomy was performed to remove the stone. 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Her pancreatic enzymes were elevated, and an abdominal computed tomography (CT) scan showed an enlarged pancreas, consistent with pancreatitis, and gas collection containing an impacted stone adjacent to Vater's papilla. This finding raised the suspicion of a duodenal diverticulum. A subsequent ERCP showed a juxtapapillary duodenal diverticulum (JPDD) filled with calculi and pus. The pancreatitis improved with 2 weeks of conservative treatment. Subsequently, the patient underwent resection of the uterus and bilateral adnexa to remove a large ovarian cyst that was also identified on the admission CT scan. On the third postoperative day, she developed abdominal pain and vomiting. CT revealed small bowel obstruction caused by an enterolith expelled from JPDD. Enterotomy was performed to remove the stone. To our knowledge, only three similar cases have been previously reported in Japan.</description><subject>Abdominal Pain - etiology</subject><subject>Diverticulum - complications</subject><subject>Diverticulum - diagnostic imaging</subject><subject>Diverticulum - therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Ileus - complications</subject><subject>Ileus - diagnostic imaging</subject><subject>Ileus - therapy</subject><subject>Jejunal Diseases - complications</subject><subject>Jejunal Diseases - diagnostic imaging</subject><subject>Jejunal Diseases - therapy</subject><subject>Middle Aged</subject><subject>Pancreatitis - complications</subject><subject>Pancreatitis - diagnostic imaging</subject><subject>Tomography, X-Ray Computed</subject><issn>0446-6586</issn><issn>1349-7693</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kctu4zAMRYViijZo-wNdFFp2444eliwtg6DzAAp001kbtEQ3ChzLtaR5_P04k0w2JAgeEpe8hNxz9sR5zdTnMaS0jWkbllo8GS0vyIrL2laNtvITWbG61pVWRl-Tu5RCxxizyhopr8i1ULZumBAr8rGmDhLS2FMcM85xCHlLw4Al0YQujh7mPzRHCq5kpBOMbkbIIYdEIaXoAmT09NdhCuiu_M4wwRSG4TDmS_Q4wkB9-IlzDq4MZX9LLnsYEt6d8g358eX5bfOtenn9-n2zfql2QplcAZOdFapBAzWz3inV6Y5Jw4QBbAzTfe_RYm-l5gCGN94LMKB6Dk3DhZU35PG4d5rjR8GU231IDhdlI8aSWq4N41YYdkAfTmjp9ujbaQ77RX_7_00L8HwEdinDO54BOBw1YHv2ol28aNW_uDhy7rstzC2O8i8pVIiq</recordid><startdate>20150501</startdate><enddate>20150501</enddate><creator>MORII, Shinji</creator><creator>DOI, Yoko</creator><creator>MAKITA, Tomoo</creator><creator>TAKEDA, Shinichiro</creator><creator>MIURA, Seiki</creator><creator>KANEKO, Takaaki</creator><creator>SAITO, Shuichi</creator><creator>OKABE, Shinichiro</creator><general>The Japanese Society of Gastroenterology</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20150501</creationdate><title>A case of enterolith ileus secondary to acute pancreatitis associated with a juxtapapillary duodenal diverticulum</title><author>MORII, Shinji ; DOI, Yoko ; MAKITA, Tomoo ; TAKEDA, Shinichiro ; MIURA, Seiki ; KANEKO, Takaaki ; SAITO, Shuichi ; OKABE, Shinichiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-j258t-a03b9257e8a409dc55b6b038028ae7806ffde9ef9361aa817dd2a8a5f1a771293</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>jpn</language><creationdate>2015</creationdate><topic>Abdominal Pain - etiology</topic><topic>Diverticulum - complications</topic><topic>Diverticulum - diagnostic imaging</topic><topic>Diverticulum - therapy</topic><topic>Female</topic><topic>Humans</topic><topic>Ileus - complications</topic><topic>Ileus - diagnostic imaging</topic><topic>Ileus - therapy</topic><topic>Jejunal Diseases - complications</topic><topic>Jejunal Diseases - diagnostic imaging</topic><topic>Jejunal Diseases - therapy</topic><topic>Middle Aged</topic><topic>Pancreatitis - complications</topic><topic>Pancreatitis - diagnostic imaging</topic><topic>Tomography, X-Ray Computed</topic><toplevel>online_resources</toplevel><creatorcontrib>MORII, Shinji</creatorcontrib><creatorcontrib>DOI, Yoko</creatorcontrib><creatorcontrib>MAKITA, Tomoo</creatorcontrib><creatorcontrib>TAKEDA, Shinichiro</creatorcontrib><creatorcontrib>MIURA, Seiki</creatorcontrib><creatorcontrib>KANEKO, Takaaki</creatorcontrib><creatorcontrib>SAITO, Shuichi</creatorcontrib><creatorcontrib>OKABE, Shinichiro</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Nippon Shokakibyo Gakkai Zasshi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MORII, Shinji</au><au>DOI, Yoko</au><au>MAKITA, Tomoo</au><au>TAKEDA, Shinichiro</au><au>MIURA, Seiki</au><au>KANEKO, Takaaki</au><au>SAITO, Shuichi</au><au>OKABE, Shinichiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A case of enterolith ileus secondary to acute pancreatitis associated with a juxtapapillary duodenal diverticulum</atitle><jtitle>Nippon Shokakibyo Gakkai Zasshi</jtitle><addtitle>Nippon Shokakibyo Gakkai Zasshi</addtitle><date>2015-05-01</date><risdate>2015</risdate><volume>112</volume><issue>5</issue><spage>863</spage><epage>870</epage><pages>863-870</pages><issn>0446-6586</issn><eissn>1349-7693</eissn><abstract>A 63-year-old woman with abdominal pain was referred to our hospital. Her pancreatic enzymes were elevated, and an abdominal computed tomography (CT) scan showed an enlarged pancreas, consistent with pancreatitis, and gas collection containing an impacted stone adjacent to Vater's papilla. This finding raised the suspicion of a duodenal diverticulum. A subsequent ERCP showed a juxtapapillary duodenal diverticulum (JPDD) filled with calculi and pus. The pancreatitis improved with 2 weeks of conservative treatment. Subsequently, the patient underwent resection of the uterus and bilateral adnexa to remove a large ovarian cyst that was also identified on the admission CT scan. On the third postoperative day, she developed abdominal pain and vomiting. CT revealed small bowel obstruction caused by an enterolith expelled from JPDD. Enterotomy was performed to remove the stone. To our knowledge, only three similar cases have been previously reported in Japan.</abstract><cop>Japan</cop><pub>The Japanese Society of Gastroenterology</pub><pmid>25947022</pmid><doi>10.11405/nisshoshi.112.863</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0446-6586 |
| ispartof | Nippon Shokakibyo Gakkai Zasshi, 2015/05/05, Vol.112(5), pp.863-870 |
| issn | 0446-6586 1349-7693 |
| language | jpn |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Abdominal Pain - etiology Diverticulum - complications Diverticulum - diagnostic imaging Diverticulum - therapy Female Humans Ileus - complications Ileus - diagnostic imaging Ileus - therapy Jejunal Diseases - complications Jejunal Diseases - diagnostic imaging Jejunal Diseases - therapy Middle Aged Pancreatitis - complications Pancreatitis - diagnostic imaging Tomography, X-Ray Computed |
| title | A case of enterolith ileus secondary to acute pancreatitis associated with a juxtapapillary duodenal diverticulum |
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