Tamura Yasushi, Hayakawa Masato, Isogawa Masato, Togashi Tadayuki, Igarashi Masato, Takahashi Sumio, Aoyagi Yutaka
Department of Gastroenterology and Hepatology, JA Niigata Medical Center Hospital, 3-27-11 kobari, Nishiku, Niigata, 950-2022, Japan.
Clin J Gastroenterol. 2017 Jun;10(3):240-243. doi: 10.1007/s12328-017-0736-1. Epub 2017 Mar 20.
Diverticulitis and diverticular abscesses are rare and potentially serious complications of duodenal diverticulum. These conditions often lead to perforation of the diverticulum, necessitating surgical treatment. There have been few reported cases of duodenal diverticulitis with or without perforation treated by endoscopic drainage. Here, we present a case of duodenal diverticulitis accompanied by abscess formation that was treated successfully with an endoscopic nasobiliary drainage catheter. We suggest this treatment could be an acceptable option for selected patients with a localized abscess that is resistant to conservative treatment.
憩室炎和憩室脓肿是十二指肠憩室罕见且可能严重的并发症。这些情况常导致憩室穿孔,需要进行手术治疗。关于内镜引流治疗十二指肠憩室炎伴或不伴穿孔的报道病例很少。在此,我们报告一例伴有脓肿形成的十二指肠憩室炎患者,通过内镜鼻胆管引流导管成功治疗。我们认为这种治疗方法对于某些对保守治疗耐药的局限性脓肿患者可能是一种可接受的选择。