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A case of intraduodenal diverticulum imitating choledochocele

Un cas de diverticule intraduodénal mimant un cholédocèle

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Summary

An intraduodenal diverticulum in 54 year old woman which caused alcalculous cholecystitis and pancreatitis is described. The diverticulum was missed at the first operation, performed for acute cholecystitis. Before the second it was interpreted as a pancreatic cyst. At the second intervention, the cyst wall was excised through a duodenotomy. Histological examination of the wall of the diverticulum is crucial for correct diagnosis.

Résumé

Les auteurs décrivent un cas de diverticule intraduodénal découvert chez une patiente de 54 ans, qui avait provoqué l'apparition d'une pancréatite et d'une cholécystite alithiasique. L'existence du diverticule fut méconnue lors de la première intervention, réalisée pour cholécystite aiguë. Avant la deuxième intervention, il fut interprété comme un kyste pancréatique. Lors de cette réintervention, la paroi du kyste fut réséquée par duodénotomie. L'examen histologique de la paroi du diverticule est primordiale pour établir un diagnostic correct.

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Kovachev, L., Deliisky, T. & Marinov, E. A case of intraduodenal diverticulum imitating choledochocele. Surg Radiol Anat 15, 365–367 (1993). https://doi.org/10.1007/BF01627895

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  • DOI: https://doi.org/10.1007/BF01627895

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