Razdan Rishi, Oatis Kristi, Specht Neil
St. Vincents Medical Center, Bridgeport, USA.
Conn Med. 2011 Sep;75(8):469-72.
Duodenal diverticulitis has been considered a rare entity. The diagnosis with computed tomography has become a fast and noninvasive means of detection and guide to management. Cases of surgically resected duodenal diverticula reforming and reinfecting are rarer yet, often presenting with similar symptoms. Duodenal diverticulitis can present with a wide range of symptoms mimicking anything from gastritis to acute abdomen, or as in the case of our patient, as mid abdominal pain with newly developed liver abscess. According to the literature, duodenal diverticula are incidentally discovered at a rate of 5% to 10% in living adults and in up to 22% at autopsy.
十二指肠憩室炎一直被认为是一种罕见的病症。计算机断层扫描诊断已成为一种快速且无创的检测手段,并能为治疗提供指导。手术切除后的十二指肠憩室复发并再次感染的病例更为罕见,通常表现出类似症状。十二指肠憩室炎可呈现出各种各样的症状,从胃炎到急腹症,不一而足,或者像我们的患者那样,表现为中腹部疼痛并伴有新出现的肝脓肿。根据文献记载,十二指肠憩室在成年活人当中的偶然发现率为5%至10%,而在尸检中的发现率高达22%。