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Case Reports in Medicine
Volume 2010 (2010), Article ID 527141, 3 pages
Case Report

Acute Pancreatitis Secondary to a Perivaterian Duodenal Diverticular Abscess

Department of General Surgery, The Whittington Hospital NHS Trust, Magdala Avenue, London N19 5NF, UK

Received 22 August 2010; Accepted 16 November 2010

Academic Editor: Indraneel Bhattacharyya

Copyright © 2010 P. Pastides et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


A 46-year-old previously fit lady was admitted with acute pancreatitis. She had no history of gallstones. She was not on any medications and consumed minimal amounts of alcohol. On subsequent investigations as to the causative factor, she was found at ultrasound to have an air-fluid filled cystic structure posterior to the head of pancreas which was compressing the common bile duct. Further magnetic resonance imaging and computer tomography scans showed that this cystic lesion was located around the ampulla of Vater. A diagnosis of a perivaterian abscess was made. At endoscopy, a large contained abscess was seen which was successfully drained. She made a full and uneventful recovery.