All are true about duodenal diveicula except:: (A) Whenever found, should be treated due to increased risk of complications, (B) Most common site is periampullary region, (C) Can cause acute pancreatitis, (D) Most are asymptomatic
Answer is A. Duodenal diveicula: 2nd m/c site of diveicula formation after colon Majority of patients asymptomatic Most of diveicula are in Peri-ampullary region in close relation with Bile duct and pancreatic duct. Clinical manifestation: Cholangitis - Due to compression of Bile duct Pancreatitis - Due to compression of pancreatic duct Diagnosis Diagnosis by endoscopy or by plain abdominal films showing an a typical gas bubble Treatment Asymptomatic, found incidentally: No treatment MC and most effective treatment for symptoms or complications: Diveiculectomy