Presentation
Upper abdominal pain
Patient Data
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.