Acute Pancreatitis Secondary to Periampullary Duodenal Diverticulitis

The patient is a 93-year-old woman with a history of recurrent acute cholecystitis and pancreatitis who came to the ER with epigastric abdominal pain radiating towards the back and nausea. Lab work showed normal inflammatory parameters, amylase 1261 U/L, and hepatic profile without alterations. Computed tomography scan demonstrated multiple duodenal diverticula and detected a periampullary diverticulum with signs of local inflammation pressing on the intrapancreatic common bile duct (Figs. 1 and 2). The extrahepatic bile duct showed no alterations, although the pancreas had mild atrophy and the Wirsung duct presented moderate dilatation. The patient was hospitalized and managed conservatively; her progress was favorable and she was discharged one week later.

Fig. 1

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Conflicts of Interest

The authors declare no conflicts of interest.