Journal of Clinical Gastroenterology and Hepatology Open Access

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Abstract

Duodenal Diverticulitis Presenting as Cholangitis

Berendsen L, Bouman DE and Venneman NG

An Endoscopic Retrograde Cholangiopancreatography (ERCP) was performed because of suspected ascending bacterial cholangitis due to common bile duct stones. A prominent papilla with an abnormal aspect was noticed. Given the suspicion of a malignancy, a CT-abdomen and additional gastroduodenoscopy were performed for further analysis. These resulted in the final diagnosis: duodenal diverticulitis, which apparently mimicked ascending bacterial cholangitis. Conservative treatment with supportive care resulted in full recovery.