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CT Findings in Duodenal Diverticulitis

Monica S. Pearl1, Michael C. Hill1 and Robert K. Zeman1

1 All authors: Department of Radiology, George Washington University Medical Center, 900 23rd St., NW, 1st Floor Radiology, Washington, DC 20037.


Figure 1
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  		Fig. 1A —61-year-old woman with duodenal diverticulitis. Axial unenhanced CT scan at level of head of pancreas (P). Ill-defined 2.5-cm mass (arrow) is present posterior to pancreas and second portion of duodenum. Associated soft-tissue stranding is present.

 

Figure 2
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  		Fig. 1B —61-year-old woman with duodenal diverticulitis. Axial contrast-enhanced CT scan performed 1 week later shows mass is smaller and more well-defined (arrow), contains air, and has appearance of duodenal diverticulum. Amount of soft-tissue stranding has decreased.

 

Figure 3
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  		Fig. 2A —53-year-old woman with duodenal diverticulitis. Axial contrast-enhanced CT scan shows air-containing 2.5-cm mass (large arrow) posterior to mesenteric vessels (small arrow) and uncinate process of pancreas with adjacent soft-tissue stranding.

 

Figure 4
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  		Fig. 2B —53-year-old woman with duodenal diverticulitis. Coronally reformatted image reveals contrast-filled diverticulum (arrow) arising from third portion of duodenum.

 

Figure 5
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  		Fig. 2C —53-year-old woman with duodenal diverticulitis. Coronally reformatted image reveals second diverticulum (arrow) that is partially air filled and thick walled with surrounding soft-tissue stranding caused by acute duodenal diverticulitis.

 

Figure 6
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  		Fig. 2D —53-year-old woman with duodenal diverticulitis. Coronally reformatted image reveals third air-filled diverticulum (arrow).

 

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