Lucio Pereira, Tariq Almerey, MD, John Stauffer, MD, Levan Tsamalidze, MD, Horacio J Asbun, MD. Mayo Clinic Florida
Introduction: An intraluminal duodenal diverticulum, or Windsock diverticula (WD), is a true diverticulum of the mucosa. The pathogenesis involves incomplete recanalization of the embryologic foregut in the 8th week of gestation. The progressive ballooning of the tissue forms a pulsing-type diverticulum risking occlusion of the duodenal lumen by the diaphragm of the WD.
Case Report: A 52-year old female initially presented with upper abdominal pain and post prandial vomiting. After undergoing an upper endoscopy, she was diagnosed with juxtapapillary duodenal diverticula with papillary and duodenal partial obstruction. A sphincterotomy was initially performed with no improvements of the symptoms. Because of refractory symptoms, it was felt that she would benefit from surgical management of the disease. Plan was to attempt a resection of the diverticulum with conversion to duodenectomy or pancreatoduodenectomy contingent to operative findings.
A laparoscopic resection of the intra duodenal diverticula (Windsock) is demonstrated. Careful attention is paid to avoid injuring the biliopancreatic drainage complex
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 88674
Program Number: V012
Presentation Session: Liver/Pancreas Video Session
Presentation Type: Video