Duodenal diverticulum and associated pancreatitis: Case report with brief review of literature

Pancreatitis in the elderly is a problem of increasing oc-currence and is associated with severe complications. Periampullary diverticula (PAD) are extraluminal outpouchings of the duodenum rarely associated with pancreatitis. The presence of PAD should be excluded before diagnosing idiopathic pancreatitis, particularly in the elderly. However, when a duodenal diverticulum is found in the absence of any additional pathology, only then should the symptoms be attributed to the diverti-culum. We describe a case of duodenal diverti-culum presenting with pancreatitis to emphasize the importance of this commonly neglected etiology.(C) 2011 Baishideng. All rights reserved.