| Autor: |
Shinagawa K; Department of Gastroenterology, Toyama Red Cross Hospital., Okada K; Department of Gastroenterology, Toyama Red Cross Hospital., Yokota T; Department of Gastroenterology, Toyama Red Cross Hospital., Ueda A; Department of Gastroenterology, Toyama Red Cross Hospital., Tokimitsu Y; Department of Gastroenterology, Toyama Red Cross Hospital., Entani A; Department of Gastroenterology, Toyama Red Cross Hospital., Yasuda I; Third Department of Internal Medicine, University of Toyama. |
| Jazyk: |
japonština |
| Zdroj: |
Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology [Nihon Shokakibyo Gakkai Zasshi] 2020; Vol. 117 (7), pp. 646-650. |
| DOI: |
10.11405/nisshoshi.117.646 |
| Abstrakt: |
A woman in her 70s was admitted to our hospital because of epigastric pain and anorexia. Laboratory evaluations revealed elevated levels of liver transaminases, biliary enzymes, and amylase. CT and MRCP showed dilatation of the bile and pancreatic ducts and a large juxtapapillary diverticulum filled with contents. There were no gallstones or tumors present. Our differential diagnosis included obstruction of the papilla of Vater, so we performed an urgent ERCP. Endoscopic examination showed the juxtapapillary diverticulum filled with food residue;however, we were unable to locate the papilla of Vater. We rinsed out and removed food residue from the diverticulum using a retrieval balloon catheter used for gallstones. After the endoscopic removal of the food residue, the patient's epigastric pain immediately subsided and her cholangitis and pancreatitis improved gradually. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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