Duodenal obstruction following acute pancreatitis caused by a large duodenal diverticular bezoar

作者：Kim Ji Hun; Chang Jae Hyuck^*; Nam Sung Min; Lee Mi Jeong; Maeng Il Ho; Park Jin Young; Im Yun Sun; Kim Tae Ho; Park Il Young; Han Sok Won

来源：World Journal of Gastroenterology, 2012, 18(38): 5485-5488.

DOI：10.3748/wjg.v18.i38.5485

• Bezoar
• Diverticulum
• Pancreatitis
• Duodenal obstruction

Bezoars are concretions of indigestible materials in the gastrointestinal tract. It generally develops in patients with previous gastric surgery or patients with delayed gastric emptying. Cases of periampullary duodenal divericular bezoar are rare. Clinical manifestations by a bezoar vary from no symptom to acute abdominal syndrome depending on the location of the bezoar. Biliary obstruction or acute pancreatitis caused by a bezoar has been rarely reported. Small bowel obstruction by a bezoar is also rare, but it is a complication that requires surgery. This is a case of acute pancreatitis and subsequent duodenal obstruction caused by a large duodenal bezoar migrating from a periampullary diverticulum to the duodenal lumen, which mimicked pancreatic abscess or microperforation on abdominal computerized tomography. The patient underwent surgical removal of the bezoar and recovered completely.

• 出版日期2012-10-14