MRI Findings of Intrinsic and Extrinsic Duodenal Abnormalities and Variations

Atman, Ebru Düşünceli; Erden, Ayşe; Üstüner, Evren; Uzun, Çağlar; Bektaş, Mehmet

doi:10.3348/kjr.2015.16.6.1240

Cited by 16 publications

(12 citation statements)

References 34 publications

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“…Jadvar and Mindelzun 6 showed that contrast-enhanced ACT is useful in directly visualizing the complete or partial AP tissue in adults, and Sandrasegaran et al 7 suggested an ACT finding of a crocodile jaw configuration of pancreatic tissue – pancreatic tissue posterolateral to the second part of the duodenum, which was suggestive of the presence of AP in adults. More recently, Dusunceli Atman et al 8 showed the usefulness of magnetic resonance imaging in demonstrating duodenal pathology and its anatomic relationship with adjacent organs. To our knowledge, there have been no clinical clues to specifically indicate the diagnosis of AP, even for the onset at atypical age.…”

Section: Discussionmentioning

confidence: 99%

Annular pancreas in an 11-year-old girl: a case report

Moon

2017

IMCRJ

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Annular pancreas (AP) is a rare cause of congenital duodenal obstruction that is usually discovered at the neonatal period, but clinical severities can vary over a wide range and definite diagnosis could be delayed until late childhood or adulthood. We report here a case of AP detected in an 11-year-old girl who had a long history of symptoms of partial duodenal obstruction. Upper gastrointestinal (UGI) study revealed narrowed second portion of duodenum by extrinsic compression, and computed tomography demonstrated complete ring of pancreatic tissue surrounding the second portion of the duodenum. Diamond-shaped duodenoduodenostomy successfully cured the patient, and the postoperative UGI study showed smooth passage through the bypass segment. Although rare, AP should be differentiated in children with unresolved symptoms of partial duodenal obstruction.

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Section: Discussionmentioning

confidence: 99%

Annular pancreas in an 11-year-old girl: a case report

Moon

2017

IMCRJ

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“…Duodenal diverticulum is an outpouching of the duodenum and can be congenital or acquired [ 20 , 21 ]. Congenital diverticulum can be found anywhere along the duodenum.…”

Section: Duodenummentioning

confidence: 99%

“…Congenital diverticulum can be found anywhere along the duodenum. The acquired type is more common than the congenital variant and usually present along the medial wall of the second and third segments of the duodenum [ 20 ]. The duodenum is the second most common location for diverticula after the colon [ 22 ].…”

Section: Duodenummentioning

confidence: 99%

Foregut Diverticula

Roh

2021

Korean J Fam Med

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Diverticular disease can present anywhere along the gastrointestinal (GI) tract. It can result from various pathologies such as abnormal contraction within the GI tract or inflammation causing scar tissue and the resulting forces surrounding the GI tract. Its clinical presentation can vary from asymptomatic to severe symptoms, with significant decrease in quality of life. The treatment for various diverticula along the GI tract can also vary, depending on the severity of symptoms. This article describes diverticular disease occurring within the foregut, with emphasis on pathophysiology, clinical presentation, and treatment.

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“…Bile duct polyps are difficult to diagnose by B-mode ultrasonography, computed tomography (CT), and magnetic resonance imaging (MRI); however, bile duct polyps can sometimes be detected during surgery of the biliary tract[1-3]. However, the definitive diagnosis of bile duct polyps requires cholangioscopy or use of the SpyGlass system[2,4-6].…”

Section: Introductionmentioning

confidence: 99%

Endoscopic mucosal resection of a bile duct polyp: A case report

Shu

Yang

Wang

et al. 2019

WJCC

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BACKGROUNDBile duct polyps are difficult to diagnose and are usually excised by open abdominal surgery or snare polypectomy using choledochoscopy via the T-tube sinus tract. However, these two resection methods require the surgeon to open the abdomen and cut the bile duct to place the “T” tube. Moreover, simple snare polypectomy, without submucosal injection, can only remove pedunculated polyps and not flat polyps. Therefore, a new method is required for the excision of bile duct polyps, including flat polyps.CASE SUMMARYA 63-year-old woman was hospitalized following epigastric pain lasting a month. She had a 30-year history of cholelithiasis and had undergone cholecystectomy because of cholecystolithiasis, and had undergone cholangiolithotomy twice due to choledocholithiasis. Computed tomography (CT) and magnetic resonance imaging showed a communication between the bile duct and duodenal bulb. Inside the communication, CT showed a high-density shadow which was a hypointense lesion in T2 weighted image. The lesion showed no enhancement in T1 weighted image contrast enhanced. Gastroscopy revealed an incarcerated bile duct stone in the anterior wall of the duodenal bulb, which was removed with a basket under gastroscopy. Thereafter, a choledochoduodenal fistula was revealed. Finally, a flat polyp was detected in the lower part of the common bile duct and was removed by endoscopic mucosal resection (EMR) through the fistula. To our knowledge, this is the first reported case of the removal of a bile duct polyp using EMR.CONCLUSIONEMR is a safe, effective, and low-cost method for the resection of all bile duct polyps.

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MRI Findings of Intrinsic and Extrinsic Duodenal Abnormalities and Variations

Cited by 16 publications

References 34 publications

Annular pancreas in an 11-year-old girl: a case report

Annular pancreas in an 11-year-old girl: a case report

Foregut Diverticula

Endoscopic mucosal resection of a bile duct polyp: A case report

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