Gastric Diverticulum in Computed Tomography

Abstract

Gastric diverticula (GD) are the outpouchings of the stomach wall. They are the least common diverticula of the gastrointestinal system (GIS). They are usually asymptomatic and are diagnosed accidentally by upper gastrointestinal contrast radiographic studies or endoscopy. Identification is important as they can cause serious complications such as bleeding or perforation. We herein present a case of asymptomatic congenital gastric diverticulum which was seen in computed tomography and proved with upper gastrointestinal endoscopy.

Keywords

• gastric diverticulum
• stomach diverticulum
• diverticula
• endoscopy

References

1. Gockel I, Thomschke D, Lorenz D. Gastric diverticula, J Gastroenterol Hepatol. 2004 Feb; 19(2): 227.
2. Donkervoort SC, Baak LC, Blaauwgeers JL, Gerhards MF. Laparoscopic resection of a symptomatic gastric diverticulum: a minimally invasive solution, JSLS. 2006 Oct-Dec;10(4): 525–7.
3. Rodeberg DA, Zaheer S, Moir CR, Ishitani MB. Gastric diverticulum: a series of four pediatric patients, J Pediatr Gastroenterol Nutr.2002 May; 34(5): 564–7.
4. DuBois B, Powell B, Voeller G. Gastric diverticulum: “a wayside house of ill fame” with a laparoscopic solution, JSLS. Jul-Sep 2012;16(3):473-7.
5. Rashid F, Aber A, Iftikhar SY (2012) A review on gastric diverticulum. World J Emer Surg. 2012 7:1.
6. Shah J, Patel K, Sunkara T, Papafragkakis C, Shahidullah A. Gastric Diverticulum: A Comprehensive Review, Inflamm Intest Dis 2018;3:161–166
7. Podda M, Atzeni J, Messina Campanella A, Saba A, Pisanu A. Syncope with surprise: an unexpected finding of huge gastric diverticulum, Case Rep Surg. 2016; 2016: 1941293.
8. Muis MO, Leitao K, Havnen J, Glomsaker TB, Søreide JA. Gastric diverticulum and halitosis-A case for surgery, Int J Surg Case Rep. 2014; 5(7): 431–3.

9. Palmer ED. Gastric diverticula, Int Abstr Surg. 1951 May; 92(5): 417–28
10. Wolters VM, Nikkels PG, Van Der Zee DC, Kramer PP, De Schryver JE, Reijnen IG, Houwen RH. A gastric diverticulum containing pancreatic tissue and presenting as congenital double pylorus: case report and review of the literature, J Pediatr Gastroenterol Nutr 2001; 33: 89-91 PMID: 11479415
11. Anaise D, Brand DL, Smith NL, Soroff HS. Pitfalls in the diagnosis and treatment of a symptomatic gastric diverticulum, Gastrointest Endosc 1984; 30: 28-30 PMID: 6423437 DOI: 10.1016/S0016-5107(84)72291-7
12. Bothén NF, Eklöf O. Diverticula and duplications (enterogenous cysts) of the stomach and duodenum, Am J Roentgenol Radium Ther Nucl Med. 1966 Feb; 96(2): 375–81.
13. Eras P, Beranbaum SL. Gastric diverticula: congenital and acquired, Am J Gastroenterol. 1972 Feb; 57(2): 120–32.
14. Feng YE, Zhang Z. Gastric diverticulum simulating a left adrenal mass: a case report and review of the literature, Oncol Lett. 2015 Oct; 10(4): 2477–80.
15. Schwartz AN, Goiney RC, Graney DO. Gastric diverticulum simulating an adrenal mass: CT appearance and embryogenesis, AJR Am J Roentgenol 1986; 146: 553-554 PMID: 3080856 DOI: 10.2214/ajr.146.3.553
16. Simon M, Zuber-Jerger I, Schölmerich J. True gastric diverticulum, Dig Liver Dis. 2009 May; 41(5): 370.