scholarly journals Duodenal diverticulum associated with pancreatitis - a case report

2019 ◽  
Vol 72 (3-4) ◽  
pp. 115-118
Author(s):  
Ivan Busarcevic
Keyword(s):  
Acute Pancreatitis ◽  
Case Report ◽  
The Elderly ◽  
Duodenal Diverticulum ◽  
Etiological Factor ◽  
Papilla Of Vater ◽  
Laboratory Findings ◽  
Short Period ◽  
Duodenal Diverticula ◽  
Pancreatic Complications

Introduction. Acute pancreatitis is usually caused by biliary lithiasis and alcohol consumption. Pancreatitis in the elderly is a problem of increasing occurrence. Anatomic abnormalities may represent a less frequent, but important etiological factor. The duodenal diverticula rarely produce signs of inflammation, obstruction, hemorrhage or perforation. In some cases secondary biliary-pancreatic complications are found when a diverticulum originates from the papilla of Vater. Case Report. This case report describes a patient diagnosed with duodenal diverticulum who developed a framework of abdominal pain and laboratory findings compatible with acute pancreatitis which occurred two times in a short period of time. Conclusion. The association of duodenal diverticulum and acute pancreatitis has been reported, but it is important to point out that anatomic abnormalities may represent a less frequent but important etiological factor for acute pancreatitis.

scholarly journals Repetitive acute cholangitis and pancreatitis due to Lemmel syndrome: A case report

2014 ◽  
Vol 1 (2) ◽  
pp. 88 ◽  
Author(s):  
Kazuki Takakura ◽  
Shigeo Koido ◽  
Mikio Kajihara ◽  
Ryosuke Fukue ◽  
Shinichiro Takami ◽  
...  
Keyword(s):  
Clinical Significance ◽  
Operative Procedure ◽  
Acute Cholangitis ◽  
Clinical Work ◽  
Japanese Woman ◽  
Papilla Of Vater ◽  
Short Period ◽  
Duodenal Diverticula ◽  
Old Japanese ◽  
Anatomical Relationship

Duodenal diverticulum is a disease that clinicians commonly encounter in ordinary clinical work. Most cases are rarely regarded as clinical problems because of their asymptomatic progress. Among these cases, since Lemmel reported the clinical significance of juxtapapillary duodenal diverticula in 1934, describing them as Papillensyndrom, the effect of juxtapapillary duodenal diverticula on biliary-pancreatic diseases has been discussed due to the anatomical relationship of diverticula and the papilla of Vater. Although Lemmel syndrome’s frequency, impact on each disease and operative procedure have been reported in Japan, its clinical significance is still unclear. Until now, no guidelines regarding the therapeutic indication of juxtapapillary duodenal diverticula have been established, so a suitable therapeutic strategy needs to be selected for each patient. Here, we report a case of 60-year-old Japanese woman who repeatedly developed acute cholangitis and pancreatitis in a short period due to Lemmel syndrome, which was comprehensively diagnosed based on various imaging findings. 

Intraluminal duodenal diverticulum causing recurrent acute pancreatitis: case report and review of the literature

1997 ◽  
Vol 9 (4) ◽  
pp. 397-401 ◽  
Author(s):  
Abdulmohsen A. Al-Mulhim ◽  
Abdulaziz A. Al-Quorain ◽  
Lade Wosornu ◽  
Osama M. Abou Ghzala ◽  
Dalal M. Al-Tamimi
Keyword(s):  
Acute Pancreatitis ◽  
Case Report ◽  
Duodenal Diverticulum ◽  
Review Of The Literature ◽  
Recurrent Acute Pancreatitis ◽  
Intraluminal Duodenal Diverticulum

scholarly journals ATORVASTATIN INDUCED ACUTE PANCREATITIS? - A RARE CASE REPORT

2019 ◽  
pp. 1-2
Author(s):  
JAIDEV KUMAR ◽  
ASHOKA ◽  
RAKSHITH ◽  
UMESH
Keyword(s):  
Acute Pancreatitis ◽  
Abdominal Pain ◽  
Case Report ◽  
Health Care Professionals ◽  
Time Interval ◽  
Close Monitoring ◽  
Drug Induced ◽  
Converting Enzyme Inhibitors ◽  
Short Period ◽  
Objective Evidence

Acute pancreatitis is a clinical condition characterized by inflammation of pancreas. The specific time interval to suspect any patient as acute pancreatitis is not clearly defined in any therapeutic guideline and usually symptoms will be lasted for a short period of time. The management of acute pancreatitis always depends on underlying cause. The common medications that can cause acute pancreatitis include angiotensin-converting enzyme inhibitors, azathioprine, and pentamidine. According to the patient case history, abdominal pain was on and off; the patient also received nonsteroidal anti-inflammatory drugs, i.e., tablet aceclofenac 100 mg for abdominal pain, whenever he was experiencing pain and it got subsided only for short period. This case report did not have clear subjective and objective evidence to suspect atorvastatin which was the main culprit of causing acute pancreatitis. The incidence of causing drug-induced acute pancreatitis is very low which was accountable for only 0.1–2%. This case report concludes that all health-care professionals need to have close monitoring of atorvastatin causing acute pancreatitis which is very rarely seen.

scholarly journals EARLY CARCINOMA OF THE PAPILLA OF VATER PRESENTING WITH ACUTE PANCREATITIS-CASE REPORT-

2004 ◽  
Vol 65 (7) ◽  
pp. 1933-1936 ◽  
Author(s):  
Akira IGARASHI ◽  
Toshiyuki ORI ◽  
Takaaki SAITOU ◽  
Takashi ITO
Keyword(s):  
Acute Pancreatitis ◽  
Case Report ◽  
Early Carcinoma ◽  
Papilla Of Vater

Hypertriglyceridemia: An Infrequent, Difficult-to-predict, Severe Metabolic and Vascular Problem Associated with Estrogen Administration

2020 ◽  
Vol 18 (3) ◽  
pp. 254-261
Author(s):  
Thomas F. Whayne
Keyword(s):  
Acute Pancreatitis ◽  
Severe Side Effect ◽  
Recurrent Acute Pancreatitis ◽  
Postmenopausal Symptoms ◽  
Severe Hypertriglyceridemia ◽  
Short Period ◽  
Cv Disease ◽  
The Right ◽  
And Control ◽  
Transdermal Route

Supplementary estrogen plays important roles for female patients as convenient birth control, relief of postmenopausal symptoms, and in the management of other selected problems. However, as is the case for essentially all medications, there are side effects. Short of a major pulmonary embolus, the most severe side effect of estrogen would appear to be sporadic, rare, and severe hypertriglyceridemia associated with acute pancreatitis. The occurrence of this fortunately rare problem usually happens in the presence of some preexisting and usually mild increase in triglycerides (TG). A case of chronic and severe recurrent acute pancreatitis is described in the introduction and the management was complete estrogen avoidance. Started close to menopause and continued for a relatively short period, estrogens may have some cardiovascular (CV) benefit but the general recommendation is not to prescribe them for CV disease prevention. Estrogens may contribute to decreased diabetes mellitus (DM) risk and control. Administration of estrogens by the transdermal route may decrease some problems such as venous thromboembolism (VTE) and elevation of TG. Administration of estrogen in the right situation brings significant benefit to the female patient but skillful, careful, and knowledgeable use is essential.

scholarly journals Case report: Manual therapies promote resolution of persistent post-concussion symptoms in a 24-year-old athlete

2021 ◽  
Vol 9 ◽  
pp. 2050313X2095222
Author(s):  
Susan Vaughan Kratz
Keyword(s):  
Case Report ◽  
Symptom Severity ◽  
Impact Test ◽  
Manual Therapies ◽  
Symptom Checklist ◽  
Post Concussion Syndrome ◽  
Persistent Symptoms ◽  
Short Period ◽  
History Of ◽  
Headache Impact

This case report illustrates the treatment outcomes of a collegiate athlete presenting with an 18-month history of post-concussion syndrome who received a series of mixed manual therapies in isolation of other therapy. Persistent symptoms were self-reported as debilitating, contributing to self-removal from participation in school, work, and leisure activities. Patient and parent interviews captured the history of multiple concussions and other sports-related injuries. Neurological screening and activities of daily living were baseline measured. Post-Concussion Symptom Checklist and Headache Impact Test-6™ were utilized to track symptom severity. Treatments applied included craniosacral therapy, manual lymphatic drainage, and glymphatic techniques. Eleven treatment sessions were administered over 3 months. Results indicated restoration of oxygen saturation, normalized pupil reactivity, and satisfactory sleep. Post-concussion syndrome symptom severity was reduced by 87% as reflected by accumulative Post-Concussion Symptom Checklist scores. Relief from chronic headaches was achieved, reflected by Headache Impact Test-6 scores. Restoration of mood and quality of life were reported. A 6-month follow-up revealed symptoms remained abated with full re-engagement of daily activities. The author hypothesized that post-concussion syndrome symptoms were related to compression of craniosacral system structures and lymphatic fluid stagnation that contributed to head pressure pain, severe sleep deprivation, and multiple neurological and psychological symptoms. Positive outcomes over a relatively short period of time without adverse effects suggest these therapies may offer viable options for the treatment of post-concussion syndrome.

scholarly journals An incidental case of biliary fascioliasis with subtle clinical findings: US and MRCP findings

2013 ◽  
Vol 47 (2) ◽  
pp. 125-127
Author(s):  
Hakan Önder ◽  
Faysal Ekici ◽  
Emin Adin ◽  
Suzan Kuday ◽  
Hatice Gümüş ◽  
...  
Keyword(s):  
Case Report ◽  
Bile Duct ◽  
Magnetic Resonance ◽  
Biliary Obstruction ◽  
Fasciola Hepatica ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Clinical Findings ◽  
Imaging Studies ◽  
Laboratory Findings ◽  
Acoustic Shadow

Background. Fascioliasis is a disease caused by the trematode Fasciola hepatica. Cholangitis is a common clinical manifestation. Although fascioliasis may show various radiological and clinical features, cases without biliary dilatation are rare. Case report. We present unique ultrasound (US) and magnetic resonance cholangiopancreatography (MRCP) findings of a biliary fascioliasis case which doesn’t have biliary obstruction or cholestasis. Radiologically, curvilinear parasites compatible with juvenile and mature Fasciola hepatica within the gallbladder and common bile duct were found. The parasites appear as bright echogenic structures with no acoustic shadow on US and hypo-intense curvilinear lesions on T2 weighted MRCP images. Conclusions. Imaging studies may significantly contribute to the diagnosis of patients with subtle clinical and laboratory findings, particularly in endemic regions.

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