Juxtapapillary Duodenal Diverticulum Type Ii, A Case of Surgical Treatment

Background: The duodenum represents the second most frequent site of intestinal diverticula after the colon, with approximately 75% occurring in the second portion, typically near the papilla of Vater. Most individuals with a juxtapapillary duodenal diverticulum remain asymptomatic, in which case conservative treatment is recommended. However, if conservative measures are unsuccessful or complications arise, surgical intervention may be considered. Objective: Conduct a literature review examining the evidence on the most effective treatment strategies for this condition, and compare those findings with the management approach implemented in our unit, based on a case report. Case report: A 57-year-old female initially diagnosed with choledocholithiasis and treated with ERCP without symptom improvement, who subsequently underwent further evaluation leading to the diagnosis of a type II juxtapapillary duodenal diverticulum and common bile duct stenosis due to extrinsic compression. Conclusion: Although conservative management remains the standard approach for treating juxtapapillary duodenal diverticula, definitive surgical intervention can be a safe and effective option in carefully selected and individualized cases.