Abbara Aula, Al-Hadithy Huda, Khan Shahid, Shorvon Philip
Hillingdon Hospital, Uxbridge, London, UB8 3NN, UK.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.09.2008.0960. Epub 2009 Apr 14.
An 80-year-old Caucasian woman presented with a 3-week history of painless jaundice, pruritis, dark urine and weight loss. Blood analysis demonstrated an obstructive jaundice pattern. A CT scan demonstrated a gas-filled duodenal diverticulum arising from the second part of the duodenum. Once food material was cleared from the diverticulum endoscopically, there was clinical and biochemical improvement. This case demonstrates an unusual cause of obstructive jaundice that has seldom been reported in the literature; once impacted food material was removed from the diverticulum, there was radiological improvement of the patient's condition.
一名80岁的白种女性，出现无痛性黄疸、瘙痒、深色尿液和体重减轻3周。血液分析显示为梗阻性黄疸模式。CT扫描显示十二指肠第二部有一个充满气体的十二指肠憩室。在内镜下将憩室内的食物残渣清除后，临床症状和生化指标得到改善。该病例展示了一种梗阻性黄疸的罕见病因，文献中鲜有报道；一旦从憩室内取出嵌顿的食物残渣，患者的病情在影像学上就有所改善。
