Advertisement

The complicated duodenal diverticulum: retrospective analysis of 11 cases

Published:December 16, 2011DOI:https://doi.org/10.1016/j.clinimag.2011.11.007

      Abstract

      Aim

      A series of rare complicated duodenal diverticula were reported with emphasis on causes for misdiagnosis.

      Material and methods

      Patients with a discharge diagnosis of complicated duodenal diverticulum were retrospectively obtained. Computed tomographic (CT) reports and findings were reviewed.

      Results

      Complications consisted of diverticulitis (n=2), perforation (n=7), or obstructive cholangitis (n=2). CT imaging demonstrated a duodenal diverticular structure with findings due to the kind of complications. At the time of CT interpretation, a complicated duodenal diverticulum was suspected in 5 out of 11 patients.

      Conclusion

      Awareness of the duodenal diverticulum and complications may improve the diagnostic value of CT in this setting.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Clinical Imaging
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Macari M
        • Lazarus D
        • Israel G
        • Megibow A
        Duodenal diverticula mimicking cystic neoplasms of the pancreas: CT and MR imaging findings in seven patients.
        AJR. 2003; 180: 195-199
      1. Chomel J.B.L. Histoire de l'Académie Royale, Paris, Institut de France, Académie des Sciences, 171 :33, 1710

        • Yin WY
        • Chen HT
        • Huang SM
        • Lin HH
        • et al.
        Clinical analysis and literature review of massive duodenal diverticular bleeding.
        World J Surg. 2001; 25: 848-855
        • Van der Linde K
        • van der Linden GH
        • Beukers R
        • Cleophas AJ
        Duodenal diverticula: a wide spectrum of complications.
        Neth J Med. 1998; 52: 46-47
        • Dennesen PJW
        • Rijken J
        Duodenal diverticulitis.
        Neth J Med. 1997; 50: 250-253
        • Miller G
        • Mueller C
        • Yim D
        • Macari M
        • et al.
        Perforated duodenal diverticulitis: a report of three cases.
        Dig Surg. 2005; 22: 198-202
        • Coulier B
        • Maldague P
        • Bourgeois A
        • Broze B
        Diverticulitis of the small bowel: CT diagnosis.
        Abdom Imaging. 2007; 32: 228-233
        • Pearl MS
        • Hill MC
        • Zeman RK
        CT findings in duodenal diverticulitis.
        AJR Am J Roentgenol. 2006; 187: w392-w395
        • Van Beers B
        • Trigaux JP
        • De Ronde T
        • et al.
        CT findings of perforated duodenal diverticulitis.
        J Comput Assist Tomogr. 1989; 13: 528-530
        • Ames JT
        • Federle MP
        • Pealer KM
        Perforated duodenal diverticulum: clinical and imaging findings in eight patients.
        Abdom Imaging. 2009; 34: 135-139
        • Donald JW
        Major complications of small bowel diverticula.
        Ann Surg. 1979; 190: 183-188
        • Miller G
        • Mueller C
        • Yim D
        • et al.
        Perforated duodenal diverticulitis: a report of three cases.
        Dig Surg. 2005; 22: 198-202