Diagnosis of periampullary duodenal diverticula: the value of new imaging techniques

 
This item is provided by the institution :

Repository :
Annals of Gastroenterology
see the original item page
in the repository's web site and access all digital files if the item*
share




2011 (EN)
Diagnosis of periampullary duodenal diverticula: the value of new imaging techniques (EN)

Chryssou, Evangelia G.
Karantanas, Apostolos
Perdikakis, Evangelos

Objective The purpose of this study was to evaluate and demonstrate the clinical and imagingfeatures of symptomatic duodenal diverticula presenting as or mimicking acute abdomen.Methods The imaging studies of 10 patients, all presenting with acute abdomen and diagnosedwith duodenal diverticula as the possible underlying cause, over a time period of 20 monthswere retrospectively analyzed.Results Eleven duodenal diverticula were depicted in 8 Multidetector Computed Tomography(MDCT) exams, 2 MRI-MRCP exams and in one intraoperative cholangiography. Acuteabdominal symptomatology resulting from duodenal diverticula was as follows: one patientpresented with perforation-diverticulitis, two patients with pancreatitis, one patient with acuteacalculous cholecystitis, four patients with biliary dilation and two patients with acute postprandialdiscomfort-pain. The mean maximal diameter of the diverticula examined was 2.67 cm (range0.96-4.98 cm). Further image analysis of the MDCT exams revealed that both the axial and thecoronal plane demonstrated the presence of the diverticula but the depiction of the diverticularneck was demonstrated in five cases in the axial plane and in all cases in the coronal plane.Conclusion Although duodenal diverticula constitute a rare cause of acute abdomen, carefulanalysis of imaging studies can aid to the identification of this uncommon factor of abdominalsymptomatology.Keywords periampullary/duodenal diverticulum, acute abdomen, imaging/diagnosisAnn Gastroenterol 2011; 24 (3): 192-199 (EN)

info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion

Ελληνική Γαστροεντερολογική Εταιρία (EL)
Hellenic Society of Gastroenterology (EN)

2011-08-01


Hellenic Society of Gastroenterology (EN)

1792-7463
1108-7471
Annals of Gastroenterology; Volume 24, No 3 (2011); 192 - 199 (EN)



*Institutions are responsible for keeping their URLs functional (digital file, item page in repository site)