Karoll M P, Ghahremani G G, Port R B, Rosenberg J L
Dig Dis Sci. 1983 May;28(5):411-6. doi: 10.1007/BF02430529.
The descending part of duodenum is the principal site for an intraluminally projecting mucosal pouch or diverticulum, but this unusual lesion may also occur elsewhere in the upper gastrointestinal tract. We report three patients in whom a large intraluminal duodenal diverticulum (IDD) was diagnosed radiographically at the ages of 15, 27, and 68 years, respectively. Fiberoptic duodenoscopy was performed in the two symptomatic cases for the removal of impacted food from IDD or dilatation of its outflow aperture. Guidelines for the diagnosis and treatment of IDD are provided based on our experience and review of the pertinent literature.
十二指肠降部是腔内突出的黏膜袋或憩室的主要发生部位，但这种不常见的病变也可能出现在上消化道的其他部位。我们报告了3例患者，分别在15岁、27岁和68岁时经影像学检查诊断为巨大腔内十二指肠憩室（IDD）。对2例有症状的患者进行了纤维十二指肠镜检查，以清除IDD内嵌顿的食物或扩张其流出孔。根据我们的经验并回顾相关文献，提供了IDD的诊断和治疗指南。
