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Duodenal diverticula

Case contributed by Dr Bashar Karkoush

Presentation

Upper abdominal pain

Patient Data

Age: 70 years
Gender: Female
CT

Two duodenal diverticula are seen along the medial aspect of the second part of the duodenum. The larger measures about 3.7 cm and contains food debris; it is exerting mild compression upon the common bile duct outlet. The common bile duct measures 1.1 cm. The smaller diverticulum measures about 2 cm and also contains food debris.

A small mass is seen in the left adrenal gland measuring about 1.4 cm consistent with an adrenal adenoma.

A small peripelvic cyst is seen in the left kidney measuring 2.3 cm.

Case Discussion

Duodenal diverticula are common incidental findings. They are often asymptomatic. Complications such as duodenal diverticulitis, hemorrhage, perforation, abscess formation or biliary duct obstruction can occur.

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