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A Case of Duodenal Diverticulitis Mimicking Cholangitis
±Ç¿µ¶õ ( Kwon Young-Lan ) - °è¸í´ëÇб³ µ¿»êÀÇ·á¿ø ³»°ú
Á¶±¤¹ü ( Cho Kwang-Bum ) - °è¸í´ëÇб³ µ¿»êÀÇ·á¿ø ³»°ú
±èÀº¼ö ( Kim Eun-Soo ) - °è¸í´ëÇб³ µ¿»êÀÇ·á¿ø ³»°ú
¹Ú°æ½Ä ( Park Kyung-Sik ) - °è¸í´ëÇб³ µ¿»êÀÇ·á¿ø ³»°ú
±è¹ÎÁ¤ ( Kim Min-Joung ) - °è¸í´ëÇб³ µ¿»êÀÇ·á¿ø ³»°ú
±è°æÈÆ ( Kim Kyung-Hun ) - °è¸í´ëÇб³ µ¿»êÀÇ·á¿ø ³»°ú
ÀÌÁ¤Àº ( Lee Joung-Eun ) - °è¸í´ëÇб³ µ¿»êÀÇ·á¿ø ³»°ú
À̰æÀÎ ( Lee Kyung-In ) - °è¸í´ëÇб³ µ¿»êÀÇ·á¿ø ³»°ú
Abstract
½ÊÀÌÁöÀåÀº ´ëÀå¿¡ ÀÌ¾î µÎ ¹øÂ°·Î °Ô½ÇÀÌ ¸¹ÀÌ ¹ß»ýÇÏ´Â ºÎÀ§·Î 20% ÀÌ»óÀÇ ºóµµ¸¦ °¡Áø´Ù. ½ÊÀÌÁöÀå °Ô½ÇÀº ´ëºÎºÐ ¹«Áõ»óÀ̳ª µå¹°°Ô °¨¿°À̳ª ÃâÇ÷, ÃÑ´ã°ü Æó¼â, ½Ã¼ú°ú °ü·ÃµÈ õ°ø µîÀÇ ÇÕº´ÁõÀ» ÀÏÀ¸Å°´Âµ¥ ½ÊÀÌÁöÀå °Ô½Ç¿°Àº ¹ß»ý·üÀÌ ³·¾Æ¼ º¸°í°¡ µå¹°´Ù. ½ÊÀÌÁöÀå °Ô½Ç¿°Àº ÀÓ»ó Áõ»óÀ̳ª ¹æ»ç¼±ÇÐÀû ¼Ò°ßÀÌ Ãé´ãµµ ¿°Áõ¼º Áúȯ°ú Á¾¾ç µî°ú À¯»çÇÑ ¼Ò°ßÀ» º¸¿© ¿ÀÀεDZ⠽¬¿ì¸ç, °¨º°Áø´Ü¿¡¼µµ ÀϹÝÀûÀ¸·Î °í·ÁµÇÁö ¾Ê´Â °æÇâÀÌ Àֱ⠶§¹®¿¡ Áø´ÜÀÌ ½±Áö ¾Ê´Ù. ÀúÀÚµéÀº ÇÏ·ç°£ÀÇ ¿ì»óº¹ºÎÅëÁõ, ¹ß¿, ¿ÀÇÑ Áõ¼¼·Î ³»¿øÇÑ 69¼¼ ¿©ÀÚ¿¡¼ ´ãµµ¿°À» ÀǽÉÇÏ¿© ³»½Ã°æ¿ªÇ༺´ãÃé°üÁ¶¿µ¼ú Áß ¹ÙÅÍÆØ´ëºÎ ÁÖÀ§ÀÇ ½ÊÀÌÁöÀå °Ô½Ç¿°À» È®ÀÎ ÈÄ ³»½Ã°æÀ¯µÎ°ý¾à±ÙÀý°³¼úÀ» ÅëÇÑ °Ô½Ç ÀÔ±¸ÀÇ È®Àå°ú °Ô½Ç ¹è¾× ¹× ¼¼Ã´À» ÇÏ¿© È£ÀüÀ» º¸ÀÎ Áõ·Ê¸¦ °æÇèÇÏ¿© º¸°íÇÑ´Ù.
The duodenum ranks second to the colon as the most common site of diverticulosis in the gastrointestinal tract with a prevalence of more than 20%. It is usually asymptomatic, and rarely requires treatments for complications, including diverticulitis, hemorrhage, and luminal obstructions. Unlike diverticulosis, duodenal diverticulitis is extremely rare. Given that the radiological appearance and clinical presentation of duodenal diverticulitis often mimic those of pancreaticobiliary neoplasms or inflammations, it is a challenge for clinicians to diagnose it correctly, which often leads to misdiagnosis and inappropriate management. Here we report a case of a 69 year-old female patient with duodenal diverticulitis, whose clinical symptoms and radiological images were similar to those of acute cholangitis. We also briefly review the literature.
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½ÊÀÌÁöÀå °Ô½Ç¿°;³»½Ã°æÀ¯µÎ°ý¾à±ÙÀý°³¼ú;´ãµµ¿°
Duodenal diverticulitis;Endoscopic sphincterotomy;Cholangitis
KMID :
0359020100410030185
DOI :
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