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  • Title: Duodenal diverticulum associated with annular pancreas: a rare cause of severe cholangitis.
    Author: Ben Ameur H, Boujelbene S, Affes N, Ghorbel A, Beyrouti MI.
    Journal: J Visc Surg; 2011 Jun; 148(3):e221-4. PubMed ID: 21715238.
    Abstract:
    Duodenal diverticulum is a common occurrence but most are asymptomatic. However, in some cases, they can cause mechanical biliary compression. We report the case of a duodenal diverticulum in a 64-year-old woman revealed by severe cholangitis with septic shock and a liver abscess. Associated annular pancreas was found. We discuss the various investigations to diagnose these two entities as well as the therapeutic strategy in this unique combination of disease.
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