Gastric diverticulum

Case contributed by Dr Safwat Mohammad Almoghazy

Presentation

Metastatic colorectal cancer to peritoneum on palliative chemotherapy under follow-up.

Patient Data

Age: 40 years
Gender: Female
CT

Liver is of average size with no intraparenchymal lesions or dilated intrahepatic biliary radicals. Mild perihepatic and fissural fluid.

Stable GB stones.

Nodularity and strandings of the mesenteric fat planes density suggestive of peritoneal deposits.

Unremarkable CT features of CBD, portal vein, pancreas, spleen, adrenals, kidneys, pelvic gynecological organs, urinary bladder, and rest of visualized opacified bowel loops.

A few subcentimetric mesenrtic and periaortic lymph nodes

Stable small fundal gastric diverticulum is noted with air fluid level within.

Left sided colostomy is noted.

The visualized bones show no suspicious lesions.

Case Discussion

Gastric diverticula are sac-like projections that usually originate from the gastric fundus, most commonly on the posterior surface. They are the least common gastrointestinal diverticulum.

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Case information

rID: 51679
Published: 5th Mar 2017
Last edited: 6th Nov 2019
Inclusion in quiz mode: Included

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