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.
Similar content being viewed by others
References
Ilhan Yildirgan M, Basoglu M, Yilmaz I, Atamanalp S, Balik AA et al (2004) Periampullary diverticula causing pancreaticobiliary disease. Dig Dis Sci 49:1943–1945
Tsitouridis I, Emmanouilidou M, Goutsaridou F et al (2003) MR cholangiography in the evaluation of patients with duodenal periampullary diverticulum. Eur Radiol 47:154–160
Cem Balci N, Akinci A, Akün E, Klör HU (2003) Juxtapapillary diverticulum findings on CT and MRI. Clin Imag 27:82–88
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 39:379–383
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 16:208–211
Duarte B, Nagy KK, Cintron J (1992) Perforated duodenal diverticulum. Br J Surg 79(9):877–881
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 11:69–72
Cem Balci N, Noone T, Akün E, Akinci A, Klör HU (2003) Juxtapapillary diverticulum: findings on MRI. J Magn Reson Imaging 17:487–492
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 180:195–199
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 185:432–435
Hariri A, Siegelman SS, Hruban RH (2005) Duodenal diverticulun mimicking a cystic pancreatic neoplasm. Br J Radiol 78:562–564
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 174:45–48
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
Yen H-H, Chen Y-Y, Su W-W, Soon M-S (2006) Hepatobiliary and pancreatic: bleeding from a duodenal diverticulum. J Gastroenterol Hepatol 21:1347
Goodney PP, Pindyck F (2004) Paraduodenal hernia and jejunal diverticulosis. J Gastroenterol Hepatol 19:229–231
Author information
Authors and Affiliations
Corresponding author
Additional information
Precisely correct answer was received by closing date from:
Yann Fargeaudou, Clichy, France
Siegfried Schwab, Erlangen, Germany
Meric Tuzun, Ankara, Turkey
Annemie Snoeckx, Antwerp, Belgium
Bart D’herde, Hasselt, Belgium
Evgeny Rozengauz, St.Petersburg, Russia
Marc De Baets, Lugano, Switzerland
Manabu Minami, Ibaraki, Japan
Rights and permissions
About this article
Cite this article
López Zárraga, F., Saenz De Ormijana, J., Diez Orive, M. et al. Abdominal pain in a young woman (2009: 8b). Eur Radiol 19, 2783–2786 (2009). https://doi.org/10.1007/s00330-008-1246-9
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00330-008-1246-9