Chuang J H, Chan H M, Huang Y S, Hsieh J S, Huang T J
Department of Surgery, Kaohsiung Medical College, Taiwan, Republic of China.
Gaoxiong Yi Xue Ke Xue Za Zhi. 1993 Aug;9(8):488-93.
Duodenal diverticulosis is not a rare condition. Usually of little clinical significance, it can produce a variety of disorders such as malabsorption, hemorrhage, diverticulitis, and obstruction. The rarest complication appears to be enterolith formation and obstruction. The case presented is a 70-year-old woman with the chief complaints of intermittent abdominal pain and vomiting. At laparotomy, duodenal diverticulitis and one enterolith obstructing the distal ileum were found. The literature review presents the other 26 cases with small bowel obstruction due to an enterolith formed within a small bowel diverticulum. The diagnosis can be established only by documenting the normalcy of the gallbladder and the presence of duodenal or jejunal diverticula.
十二指肠憩室病并非罕见病症。通常临床意义不大，但可引发多种病症，如吸收不良、出血、憩室炎及梗阻。最罕见的并发症似乎是肠石形成及梗阻。所呈现的病例是一位70岁女性，主要症状为间歇性腹痛和呕吐。剖腹探查时，发现十二指肠憩室炎以及一枚肠石阻塞回肠末端。文献综述列出了另外26例因小肠憩室内形成肠石导致小肠梗阻的病例。只有通过证明胆囊正常以及存在十二指肠或空肠憩室，才能确立诊断。
