Where is Periampullary diverticulum?

Periampullary diverticula are usually detected along the medial wall of the duodenum and in close proximity to the ampulla of Vater. Duodenal diverticula are usually asymptomatic.

How many types of Periampullary diverticulum are there?

According to the number of diverticula and their anatomical relationship with the major papilla, we divided PAD into four types and then further divided types II and IV into two subtypes in terms of the distance from the major papilla to the edge of the diverticulum.

What is a large duodenal diverticulum?

A duodenal diverticulum (the plural of which is diverticula) is a pouch attached to the duodenum, the second part of the small intestine just past the stomach.

Can diverticulitis cause pancreatitis?

Although duodenal diverticulitis is a rare cause of pancreatitis, early diagnosis and treatment is crucial due to associated high morbidity and mortality. To cite this abstract: . Periampullary Duodenal Diverticulitis: A Rare Cause of Acute Pancreatitis.

What does Periampullary diverticulum mean?

Background: Periampullary diverticula (PAD) are extraluminal outpouchings of the duodenum arising within a radius of 2-3 cm from the ampulla of Vater. They are frequently encountered in elderly patients undergoing endoscopic retrograde cholangiopancreatography (ERCP) and contribute to failure of ERCP.

What is Periampullary growth?

Periampullary cancer is a cancer that forms near the ampulla of Vater, an enlargement of the ducts from the liver and pancreas where they join and enter the small intestine. It consists of: ampullary tumour from ampulla of Vater. cancer of lower common bile duct. duodenal cancer adjacent to ampulla.

Can duodenal diverticulum cause back pain?

The most common symptoms are upper abdominal pain radiating to the back, intermittent diarrhea, constipation and weight loss [9,10]. The differential diagnosis for small bowel diverticulum is acute or chronic pancreatitis, cholecystitis, small bowel obstruction, or peptic ulcer disease [2-4].

What does periampullary diverticulum mean?

Is duodenal diverticulum painful?

A duodenal diverticulum is usually asymptomatic, but when symptoms occur the most common, and often only symptom is persisting abdominal pain. This a specific symptom makes it difficult for clinicians to diagnose a duodenal diverticulum.

What is periampullary area?

The peri-ampulla (PA) region refers to the area within 2cm of the main papilla of the duodenum, including Vater ampulla, lower segment of common bile duct, opening of pancreatic duct, duodenal papilla and duodenal mucosa nearby (1–4).