A case of enterolith ileus secondary to acute XXXX associated with a juxtapapillary duodenal diverticulum.

@entity1 @entity788 @entity42 @entity1829 @entity490 @entity1744
A 63-year-old @entity1 with @entity490 was referred to our hospital. Her pancreatic enzymes were elevated, and an abdominal computed tomography (CT) scan showed an enlarged pancreas, consistent with @entity788 , and gas collection containing an impacted stone adjacent to @entity1829 . This finding raised the suspicion of a duodenal diverticulum. A subsequent ERCP showed a juxtapapillary duodenal diverticulum (JPDD) filled with calculi and pus. The @entity788 improved with 2 weeks of conservative treatment. Subsequently, the @entity1 underwent resection of the uterus and bilateral adnexa to remove a large @entity42 that was also identified on the admission CT scan. On the third postoperative day, she developed @entity490 . CT revealed @entity1744 caused by an enterolith expelled from JPDD. Enterotomy was performed to remove the stone. To our knowledge, only three similar cases have been previously reported in Japan.
