Intraluminal duodenal diverticulum: duodenography and MRCP findings

Öz

Abstract: In this case, an intraluminal duodenal diverticulum, causing recurrent abdominal pain, is presented together with the duodenography and magnetic resonance cholangiopancreatography imaging findings. On magnetic resonance cholangiopancreatography and T2-weighted images, a fluid collection protruding into the duodenal lumen surrounded by a hypointense rim, the shape of which changed with peristalsis, was considered to be diagnostic for intraluminal duodenal diverticulum.

Anahtar Kelimeler

• Intraluminal duodenal diverticulum, magnetic resonance cholangiopancreatography, MRCP

İntralüminal duodenal divertikül: Baryumlu grafi ve MRKP bulguları

Öz

Bu yazıda rekürren karın ağrısı şikayetine neden olan bir intralüminal duodenal divertikül olgusu, baryumlu grafi ve manyetik rezonans kolanjiyopankreatografi görüntüleri ile birlikte sunulmaktadır. Manyetik rezonans kolanjiyopankreatografi ve T2 ağırlıklı görüntülerde duodenum lümenine protrüde olan, hipointens rim ile çevrili, peristaltizm ile şekli değişen sıvı intensitesinde lezyon, intralüminal duodenal divertikül için tanısaldır.

Anahtar Kelimeler

• İntralüminal duodenal divertikül, manyetik rezonans kolanjiyopankreatografi, MRKP

Kaynakça

1. Takamatsu S, Gabata T, Matsui O, et al. Intraluminal duodenal di- verticulum: MR findings. Abdom Imaging 2006; 31:39-42.
2. Tu AS, Tran MH, Larsen CR. CT-appearance of intraluminal duo- denal diverticulum. The “halo” sign. Comput Med Imaging Graph 1998; 22:81-3.
3. Afridi SA, Fichtenbaum CJ, Taubin H. Review of duodenal diverticu- la. Am J Gastroenterol 1991; 86:935-8.
4. Tasu JP, Rocher L, Amouyal P, et al. Intraluminal duodenal diverti- culum: radiological and endoscopic ultrasonography findings of an unusual cause of acute pancreatitis. Eur Radiol 1999; 9:1898-900.
5. Ravi J, Joson PM, Ashok PS. Endoscopic incision of intraluminal du- odenal diverticulum. Dig Dis Sci 1993; 38:762-6.
6. Finnie IA, Ghosh P, Garvey C, et al. Intraluminal duodenal diverti- culum causing pancreatitis: treatment by endoscopic incision. Gut 1994; 35:557-9.
7. Abdel-Hafiz AA, Birkett DH, Ahmed MS. Congenital duodenal di- verticula: A report of three cases and a review of the literature. Surgery 1988; 104:74-8.
8. Karoll MP, Ghahremani GG, Port RB, Rosenberg JL. Diagnosis and management of intraluminal duodenal diverticulum. Dig Dis Sci 1983; 28:411-6.

9. Pumberger W, Maier-Hiebl B, Kargl S. Recurrent pancreatitis due to an intraluminal duodenal diverticulum: a case report. Surg Today 2012; 42:589-92.
10. Das CJ, Jain TP, Sharma R. Giant intraluminal devirticulum causing gastric outlet obstruction in adult. Indian J Gastroenterol 2006; 25:106-7.
11. Hwang JI, Chiang JH, Yu C, et al. Pictorial review: radiological diag- nosis of duodenal abnormalities. Clin Radiol 1998; 53:323-32.
12. Johnston P, Desser TS, Bastidas JA, et al. MDCT of intraluminal “win- dsock” duodenal diverticulum with surgical correlation and multipla- nar reconstruction. AJR Am J Roentgenol 2004; 183:249-50.
13. Fidler JL1, Saigh JA, Thompson JS, Habbe TG. Demonstration of intraluminal duodenal diverticulum by computed tomography. Ab- dom Imaging 1998; 23:38-39.
14. Lawler LP, Lillemoe KD, Fishman EK. Multidetector row computed tomography and volume rendering of an adult duodenal intralu- minal “windsock” diverticulum. J Comput Assist Tomogr 2003; 27:619-21.
15. De Rai P, Castoldi L, Tiberio G. Intraluminal duodenal diverticulum causing acute pancreatitis: CT scan diagnosis and review of the literature. Dig Surg 2000; 17:288-92.
16. Valls C. Intraluminal duodenal diverticulum: radiologic and CT fin- dings. AJR Am J Roentgenol 1993; 160:896.