A rare cause of acute abdomen; A case of duedonal diverticulitis mimicking periampuller mass on Abdominal CT
Abstract
ABSTRACT
Aim
To present the imaging findings of a patient with duedonal diverticulitis mimicking a periampullary mass on abdominal CT.
Case report
A 58-year-old female patient was admitted with complaints of abdominal pain , tenderness ,38.2 degrees of fever. She had high leukocyte, sedimentation, and CRP level. In the contrast enhanced Abdominal CT and MR/MRCP images ; duedonal diverticulitis was first considered in the differential diagnosis,. The operation was performed on the patient and the diagnosis of duedonal diverticulitis was confirmed, and the patient was discharged after recovery.
Conclusion
Acute abdominal pain can be perceived as minor bowel diverticulitis excluding non-Meckel. Abdomina MR and MRCP examinations greatly contribute to diagnosing cases, where mass and infection can’t be diffrentiated in abdominal CT.
Supporting Institution
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Project Number
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References
- REFERENCES: 1) Chiu EJ, Shyr YM, Su CH, Wu CW, Lui WY; Diverticular Disease of the Small Bowel. Hepatogastroenterology Jan-Feb 2000;47(31):181-4.
- 2) Shamim Ejaz, Raghu Vikram , John R Stroehlein; Non-Meckel Small Intestine Diverticulitis. Case Rep Gastroenterol. 2017 Aug 17;11(2):462-472. doi: 10.1159/000475747
- 3) Ki Hoon Kim , Sang Hyun Park; Conservative Treatment of Duodenal Diverticulitis Perforation: A Case Report and Literature Review. Open Access Emerg Med . 2018 Aug 30;10:101-104. doi: 10.2147/OAEM.S168487.
- 4) Sanjay K.Mahajan, Rajesh Kashyap, Upender K. Chandel, Jatinder Mokta, Satinder S. et al. Doudenal diverticulum: review of literature. Indian J Surg 2004 June ;66:140-5
- 5) Keyur Desai, Joshua D Wermers, Nebiyu Beteselassie; Lemmel Syndrome Secondary to Duodenal Diverticulitis: A Case Report. Cureus . 2017 Mar 1;9(3):e1066. doi: 10.7759/cureus.1066.
- 6) Anıl Ergin, Mehmet Mahir Fersahoğlu, Bülent Kaya, Ender Onur; Lemmel’s syndrome: A rare cause of abdominal pain and hyperbilirubinemia due to duodenal diverticulum. Haydarpaşa Numune Medical Journal 2017 Jan; 57(2): 104-106 | DOI: 10.14744/hnhj.2017.58077
Abstract
Amaç:
Bu bildiride amacımız Abdominal BT'de periampüller kitleyi taklit eden duedonal divertikülitli olgunun görüntüleme bulgularını sunmaktır.
Olgu Sunumu
58 yaşında kadın hasta 3 gündür sırta yayılan karın ağrısı ,hassasiyet, defans , 38.2 derece ateş ile genel cerrahi polikliniğine başvurdu. Hastada löksitoz ve sedim, CRP yüksekliği mevcuttu. Hastanın Kontrastslı Batın BTve Dinamik Batın MR/MRCP bulgularında ayırıcı tanısında duedonal divertikülit ilk planda düşünüldü.Yapılan medikal tedaviye rağmen semptomlarında gerileme saptanmayan olguya operasyon yapıldı. Duedonal divertikülit tanısı doğrulanan olgu şifa ile taburcu oldu.
Sonuç:
Divertikülitler akut batın nedenlerinden biridir. Batın BT de kitle , enfeksiyon ayrımı yapılamayan olgularda Batın MR ve MRCP tetkikinin tanıya katkı sağlayacağı akılda tutulmalıdır.
Project Number
-
References
- REFERENCES: 1) Chiu EJ, Shyr YM, Su CH, Wu CW, Lui WY; Diverticular Disease of the Small Bowel. Hepatogastroenterology Jan-Feb 2000;47(31):181-4.
- 2) Shamim Ejaz, Raghu Vikram , John R Stroehlein; Non-Meckel Small Intestine Diverticulitis. Case Rep Gastroenterol. 2017 Aug 17;11(2):462-472. doi: 10.1159/000475747
- 3) Ki Hoon Kim , Sang Hyun Park; Conservative Treatment of Duodenal Diverticulitis Perforation: A Case Report and Literature Review. Open Access Emerg Med . 2018 Aug 30;10:101-104. doi: 10.2147/OAEM.S168487.
- 4) Sanjay K.Mahajan, Rajesh Kashyap, Upender K. Chandel, Jatinder Mokta, Satinder S. et al. Doudenal diverticulum: review of literature. Indian J Surg 2004 June ;66:140-5
- 5) Keyur Desai, Joshua D Wermers, Nebiyu Beteselassie; Lemmel Syndrome Secondary to Duodenal Diverticulitis: A Case Report. Cureus . 2017 Mar 1;9(3):e1066. doi: 10.7759/cureus.1066.
- 6) Anıl Ergin, Mehmet Mahir Fersahoğlu, Bülent Kaya, Ender Onur; Lemmel’s syndrome: A rare cause of abdominal pain and hyperbilirubinemia due to duodenal diverticulum. Haydarpaşa Numune Medical Journal 2017 Jan; 57(2): 104-106 | DOI: 10.14744/hnhj.2017.58077
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Case Report |
| Authors | |
| Project Number | - |
| Publication Date | December 31, 2020 |
| Submission Date | June 23, 2020 |
| Published in Issue | Year 2020 Volume: 12 Issue: 3 |
