case_images: PMC9922054_01
case_images: Axial oral and intravenous contrast-enhanced Computed Tomographic section at the level of gall bladder showing pooling of oral contrast in the diverticulum with air (arrow) arising from the medial wall of the second part of duodenum. Arrowhead showing the normal distal second part of the duodenum.
case_images: cureus-0015-00000033702-i01.jpg
case_images: PMC9922054_01_cureus-0015-00000033702-i01.jpg
case_images: FIG1
case_images: Coronal (A) and sagittal (B) oral and intravenous contrast enhanced multiplanar reformatted computed tomographic images of abdomen showing diverticulum (arrowhead and arrow)
case_images: cureus-0015-00000033702-i02.jpg
case_images: PMC9922054_01_cureus-0015-00000033702-i02.jpg
case_images: FIG2
case_images: Oral and intravenous contrast-enhanced computed tomographic axial section of the abdomen at the level of the liver showed grossly dilated intrahepatic biliary radicles (arrow), grossly dilated common bile duct (asterisk), and dilated main pancreatic duct (arrowhead).
case_images: cureus-0015-00000033702-i03.jpg
case_images: PMC9922054_01_cureus-0015-00000033702-i03.jpg
case_images: FIG3
case_images: The diverticulum is causing gross dilatation of the intra-hepatic biliary radicals, common hepatic duct, common bile duct, and main pancreatic duct with abrupt termination in the distal course (Figure 3).