CC BY-NC-ND 4.0 · Endosc Int Open 2019; 07(01): E87-E89
DOI: 10.1055/a-0808-3834
Case report
Owner and Copyright © Georg Thieme Verlag KG 2019

Intraluminal duodenal (“windsock”) diverticulum: a rare cause of biliary obstruction and acute pancreatitis in the adult

Petko Karagyozov
1  Department of Interventional Gastroenterology, Acibadem City Clinic Tokuda Hospital, Sofia, Bulgaria
,
Ivan Tishkov
1  Department of Interventional Gastroenterology, Acibadem City Clinic Tokuda Hospital, Sofia, Bulgaria
,
Zhenya Georgieva
1  Department of Interventional Gastroenterology, Acibadem City Clinic Tokuda Hospital, Sofia, Bulgaria
,
Irina Boeva
1  Department of Interventional Gastroenterology, Acibadem City Clinic Tokuda Hospital, Sofia, Bulgaria
,
Dimitar Tzankov
2  Department of Surgery, University Hospital “Saint Marina”, Pleven, Bulgaria
› Author Affiliations
Further Information

Publication History

submitted 24 May 2018

accepted after revision 08 October 2018

Publication Date:
15 January 2019 (online)

  

Abstract

An intraluminal duodenal diverticulum (IDD) is a rare congenital anomaly, which is a result of incomplete recanalization of the foregut lumen during embryonic development. Most patients are asymptomatic. Symptoms usually occur after the third decade of life and mainly include epigastric pain, nausea, vomiting, or bloating. Less commonly, IDD may complicate with bleeding, duodenal obstruction, or acute pancreatitis. We present a case of IDD, manifested for a first time in adult with acute biliary obstruction and mild pancreatitis after laparoscopic cholecystectomy for acute calculous cholecystitis, successfully managed with endoscopic retrograde cholangiopancreatography (ERCP).