非治疗性上消化道内镜检查后急性可逆性十二指肠炎症。十二指肠憩室是一个易感因素吗？
Acute Reversible Duodenitis Following Non-Therapeutic Upper Gastrointestinal Endoscopy. Is Duodenal Diverticulum a Predisposing Factor?
作者信息
Unal Emre, Ayan Elif Nurbegum, Yazgan Sibel
机构信息
Department of Radiology, Zonguldak Atatürk State Hospital, Zonguldak, Turkey.
出版信息
Pol J Radiol. 2016 Dec 7;81:589-592. doi: 10.12659/PJR.898251. eCollection 2016.
BACKGROUND
Diagnostic upper gastrointestinal (UGI) endoscopy has been regarded as a safe procedure.
CASE REPORT
We report of a 67-year-old woman who developed epigastric pain and dyspeptic complaints following an uneventful upper gastrointestinal endoscopy. The diagnosis of an acute reversible duodenitis was made on the basis of imaging studies. A duodenal diverticulum was also found on CT images, which raised the suspicion that duodenal diverticulum could be a predisposing factor for duodenitis.
CONCLUSIONS
Despite significant inflammation the patient demonstrated rapid clinical improvement with conservative treatment. Presence of a duodenal diverticulum may predispose to acute duodenitis following diagnostic UGI endoscopy.
背景
诊断性上消化道（UGI）内镜检查一直被视为一种安全的操作。
病例报告
我们报告一名67岁女性，在一次顺利的上消化道内镜检查后出现上腹部疼痛和消化不良症状。根据影像学检查诊断为急性可逆性十二指肠炎症。CT图像上还发现了十二指肠憩室，这引发了十二指肠憩室可能是十二指肠炎症易感因素的怀疑。
结论
尽管有明显炎症，但患者经保守治疗后临床症状迅速改善。十二指肠憩室的存在可能使患者在诊断性UGI内镜检查后易患急性十二指肠炎症。
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