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ABDOMEN / GI tract general 45 / M, Abdominal discomfort
Number of Applicants : 51
2017-06-16
About Author | |
Authors | Sang Won, Kim |
Institution | Kyung Hee University Hospital at Gangdong |
rad2000@daum.net |
About Case | |||
Chief complaint or Title |
Abdominal discomfort | ||
Age | 45 | Sex | M |
Difficulty | For resident, For specialist | ||
Modality | US, CT |
Case Figures | |||||||||
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Questions | ||
What¡¯s your diagnosis? |
Answer | |||
Diagnosis | Duplication cyst, duodenum | ||
Comments | Duodenal duplication cyst Rare: 2-12% of GI duplication. Pathologic features: GI tract attachment, smooth muscle in the wall, epithelial lining, heterotopic tissues (¡¾). Clinical implications: common Sx (abdominal pain, nausea or vomiting), m/c complication (pancreatitis, 53%). Imaging findings Large, well-defined, spherical or tubular cystic mass. Internal fluid attenuation, cystic wall enhancement, wall calcification (occasionally) Frequent location: medial wall of 2nd & 3rd portions of duodenum. Communication with duodenal lumen: rare. Connection to pancreaticobiliary ducts (29%). |
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References | Rotondo A1, Scialpi M, Pellegrino G, et al. Duodenal duplication cyst: MR imaging appearance. Eur Radiol. 1999;9(5):890-3. Ozel A, Uysal E, Tufaner O, Erturk SM, Yalcin M, Basak M. Duodenal duplication cyst: a rare cause of acute pancreatitis in children. J Clin Ultrasound. 2008 Nov-Dec;36(9):584-6. |
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Keywords | duplication cyst, duodenum | ||
Attachment File | - |
Number of Applicants : 51
Correct Answer | 28 |
Higashi-Ohmi General Medical Center | Akitoshi Inoue |
University of Tokyo Hospital | Toshihiro Furuta |
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