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01-11-2009 | Interpretation Corner

Abdominal pain in a young woman (2009: 8b)

Authors: F. López Zárraga, J. Saenz De Ormijana, M. Diez Orive, E. Añorbe, P. Aisa, X. Aguirre, E. Arteche, B. Catón Santaren

Published in: European Radiology | Issue 11/2009

Abstract

Juxtapapillary duodenal diverticula and their possible complications are not frequent findings. We present the case of a woman with a giant juxtapapillary diverticulum, complicated by diverticulitis and areas of perforation of the wall that required urgent surgical treatment. We present the preoperative findings on computed tomography and magnetic resonance imaging.

Ilhan Yildirgan M, Basoglu M, Yilmaz I, Atamanalp S, Balik AA et al (2004) Periampullary diverticula causing pancreaticobiliary disease. Dig Dis Sci 49:1943–1945CrossRefPubMed

Tsitouridis I, Emmanouilidou M, Goutsaridou F et al (2003) MR cholangiography in the evaluation of patients with duodenal periampullary diverticulum. Eur Radiol 47:154–160CrossRef

Cem Balci N, Akinci A, Akün E, Klör HU (2003) Juxtapapillary diverticulum findings on CT and MRI. Clin Imag 27:82–88CrossRef

Sakurai Y, Miura H, Matsubara T, Imazu H, Hasegawa S, Ochiai M (2004) Perforated duodenal diverticulum successfully diagnosed preoperatively with abdominal CT scan associated with upper gastrointestinal series. J Gastroenterol 39:379–383CrossRefPubMed

Boix J, Lorenzo-Zuñiga V, Añaños F, Domenech E, Morillas RM, Gassull MA (2006) Impact of periampullary duodenal diverticula at endoscopic retrograde cholangiopancreatography: a proposed classification of periampullary duodenal diverticula. Surg Laparosc Endosc Percutan Tech 16:208–211CrossRefPubMed

Duarte B, Nagy KK, Cintron J (1992) Perforated duodenal diverticulum. Br J Surg 79(9):877–881CrossRefPubMed

Yoneyama F, Miyata K, Ohta H, Takeuchi E, Yamada T, Kobayashi Y (2004) Excision of a juxtapapillary duodenal diverticulum causing biliary obstruction: report of three cases. J Hepatobiliary Pancreat Surg 11:69–72CrossRefPubMed

Cem Balci N, Noone T, Akün E, Akinci A, Klör HU (2003) Juxtapapillary diverticulum: findings on MRI. J Magn Reson Imaging 17:487–492CrossRefPubMed

Macari M, Lazarus D, Israel G, Megibow A (2003) Duodenal diverticula mimicking cystic neoplasm of the pancreas: CT and MRI imaging findings in seven patients. AJR Am J Roentgenol 180:195–199PubMed

10.

Mazziotti S, Costa C, Ascenti G, Gaeta M, Pandolfo A, Blandino A (2005) MR cholangiopancreatography diagnosis of juxtapapillary duodenal diverticulum simulating a cystic lesion of the pancreas: usefulness of an oral negative contrast agent. AJR Am J Roentgenol 185:432–435PubMed

11.

Hariri A, Siegelman SS, Hruban RH (2005) Duodenal diverticulun mimicking a cystic pancreatic neoplasm. Br J Radiol 78:562–564CrossRefPubMed

12.

Vassilakis JS, Tzovaras G, Chrysos E, Mouzas I, Manousos O, Xynos E (1997) Roux-Y choledochojejunostomy and duodenojejunostomy for the complicated duodenal diverticulum. Am J Surg 174:45–48CrossRefPubMed

13.

Holzheimer R, Mannick J (2008) Duodenal diverticula: surgical implications. In: Surgical treatment: evidence-based and problem-oriented. http:/www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=surg.section.772. Accessed 27 Nov 2008

14.

Yen H-H, Chen Y-Y, Su W-W, Soon M-S (2006) Hepatobiliary and pancreatic: bleeding from a duodenal diverticulum. J Gastroenterol Hepatol 21:1347CrossRefPubMed

15.

Goodney PP, Pindyck F (2004) Paraduodenal hernia and jejunal diverticulosis. J Gastroenterol Hepatol 19:229–231CrossRefPubMed

Title: Abdominal pain in a young woman (2009: 8b)
Authors: F. López Zárraga
J. Saenz De Ormijana
M. Diez Orive
E. Añorbe
P. Aisa
X. Aguirre
E. Arteche
B. Catón Santaren
Publication date: 01-11-2009
Publisher: Springer-Verlag
Published in: European Radiology / Issue 11/2009
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-008-1246-9

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Abdominal pain in a young woman (2009: 8b)

Abstract

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