Intraluminal duodenal “windsock” diverticulum: Case Report and discussion

Salem Asselhab; Malik Alkhanfas; Mahdi Alsakloul; Maryam Abuojaylah; Ibrahim Altomi

doi:10.54361/ljmr.v15i2.02

Authors

Salem Asselhab Department of surgery, Sebha Medical Center, Sebha, Libya Author
Malik Alkhanfas Department of surgery, Sebha Medical Center, Sebha, Libya Author
Mahdi Alsakloul Department of surgery, Sebha Medical Center, Sebha, Libya. Author
Maryam Abuojaylah Department of surgery, Sebha Medical Center, Sebha, Libya Author
Ibrahim Altomi Department of surgery, Sebha Medical Center, Sebha, Libya Author

DOI:

https://doi.org/10.54361/ljmr.v15i2.02

Keywords:

Diverticulum, Duodenal Diseases

Abstract

Intraluminal duodenal diverticulum (IDD) is a rare developmental anomaly usually found in the second portion of the duodenum. The cause appears to be a failure of recanalization of the occluded foregut lumen of the human embryo, resulting in a fenestrated mucosal membrane^[1]. A small aperture in this diaphragm will gradually cause it to elongate caudally in response to duodenal peristalsis to form the so called “wind-sock” configuration. Symptoms are nonspecific and generally depend on the degree of duodenal obstruction; 25% of cases are associated with GI bleeding. In most documented cases, IDD was diagnosed radiologically, but the value of endoscopy for diagnosis and treatment has been amply demonstrated

Downloads

Download data is not yet available.

References

Bargon, G.: Angebroene Membranstenosen in Duodenum Beim Erwachsenenmit Intraduodenaler (Intraluminarer) Pseudodiverticikelbildung. Fortschr. Geb. Roentgenstr. Nuklearmed., 100:319, 1964.

Coors, G. A. and Mitchum, W. R.: Intraluminal Duodenal Diverticulum. Am. J. Surg., 103:400, 1962.

Meyer, A. G., and Edgren, D. C.: Duodenal Obstruction by an Intraluminal Diverticulum. Arch. Surg., 103:1, 1956.

Zatzkin, H. R., Macy, J. J., Kveton, F. W.: Intraluminal Duodenal Diverticulum: Report of a Case: Am. J. Roentgenol. Radium Ther. Nucl. Med., 103:326, 1968.

Zoepf T, Zoepf DS, Arnold JC, Benz C, Riemann JF. The relationship between juxtapapillary duodenal diverticula and disorders of the biliopancreatic system: analysis of 350 patients. GastrointestEndoscop2001; 54:56-61

D’Alessio MJ, Rana A, Martin JA, Moser AJ. Surgical management of intraluminal duodenal diverticulum and coexisting anomalies. J Am Coll Surg 2005; 201:143-148

Coors, G. A., and W. R. Mitchum. 1962. Intraluminal duodenal diverticulum. Amer. J . Roentgen. 103: 400 402.

Nelson, W. 1. 1947. Congenital diaphragm of the duodenum. Case report with pre-operative x-ray studies. Minnesota Med. 30: 745-742.

Lorente S, Lanas A, Aznar C, Jiménez E, Lozano R. Recurrent digestive hemorrhage as a complication of an intraduodenal diverticulum. Gastroenterol Hepatol. 1999; 22:282---5.

Harthun NL, Morse JH, Shaffer HA et al: Duodenal obstruction caused by intraluminal duodenal diverticulum and annular pancreas in an adult. GastrointestEndosc 2002; 55:940-943

Van Os EC, Petersen BT, Kelly DG et al: Endoscopic management of an intraluminal duodenal diverticulum. GastrointestEndosc 1996; 44:494-497.

Willemer S, Hans D, Johann FB, Rudolf A. Recurrent acute pancreatitis and intraluminal duodenal diverticulum. Pancreas. 1992; 7:257–61.

Clemente G, G Gerardo ADR, Nuzzo G. Intramural duodenal diverticulum mimicking a periampullary neoplasm. Am J Surg. 2008; 196:31–2.

Mathieu B, Salducci J, Remacle J-P, Pin G, Monges H. Intraluminal duodenal diverticulum. Am J Dig Dis. 1978;23: S1---5.