EURORAD ESR

Case 14244

Perforated duodenal diverticulitis

Author(s)
Ferreira, Natália; Ninitas, Pedro; Leitão, João; Santos, José Fonseca

CHLN - Hospital Santa Maria;
Avenida Professor Egas Moniz
1649-035 Lisbon, Portugal;
Email:Nataliasanferreira@hotmail.com
 
Patient
female, 50 year(s)
 
 
  • Figure 1
    Axial contrast-enhanced CT image showing a perforated duodenal diverticulitis

    Note a saccular outpouching (arrows) next to the second portion of the duodenum (*), with extensive retroperitoneal fat stranding and fluid. A thickened duodenal wall and dilation of the common bile duct (arrowhead)...

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Diverticula;
     
     
  • Figure 2
    Axial contrast-enhanced CT image showing a perforated duodenal diverticulitis

    There is extraluminal fluid (curved arrow) and gas (arrow) in the retroperitoneum.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 3
    Sagittal contrast-enhanced CT image showing a perforated duodenal diverticulitis.

    The diverticulum is located posterior to the pancreatic head (arrowhead) and appears to have a neck (arrow) in the transition of the second to third duodenal portions (*). The diverticulum contains air and fluid...

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Diverticula;
     
     
Note a saccular outpouching (arrows) next to the second portion of the duodenum (*), with extensive retroperitoneal fat stranding and fluid. A thickened duodenal wall and dilation of the common bile duct (arrowhead) are shown.
 
There is extraluminal fluid (curved arrow) and gas (arrow) in the retroperitoneum.
 
The diverticulum is located posterior to the pancreatic head (arrowhead) and appears to have a neck (arrow) in the transition of the second to third duodenal portions (*). The diverticulum contains air and fluid components.
 
 
 
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