Duodenal Diverticulum

Duodenal diverticulum is outpouching of duodenal wall (second portion/periampullary common), usually asymptomatic; complications include diverticulitis, bleeding, perforation, biliary/pancreatic obstruction (Lemmel syndrome). Treatment: asymptomatic: observation; diverticulitis: NPO/IV fluids/antibiotics; bleeding/perforation: surgical/endoscopic hemostasis; biliary obstruction: ERCP/sphincterotomy; surgical diverticulectomy if refractory/recurrent; monitor for recurrence; follow-up endoscopy/imaging.

Common Symptoms

Mostly asymptomatic; complications: diverticulitis/bleeding/obstruction

Causes and Pathogenesis

Congenital/acquired outpouching of duodenal wall.

Treatment

Observation if asymptomatic; treat complications; surgery if refractory

Preventive Measures

Early recognition of complications.

Department to Visit

It is recommended to visit the Gastroenterology/Hepatobiliary-surgery/Gastrointestinal-surgery department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.