Stone E E, Brant W E, Smith G B
Department of Radiology, David Grant U.S. Air Force Medical Center, Travis Air Force Base, CA 94535.
J Comput Assist Tomogr. 1989 Jan-Feb;13(1):61-3. doi: 10.1097/00004728-198901000-00012.
Duodenal diverticula are common and usually considered to be incidental findings. However, they may cause significant patient morbidity due to inflammatory or pressure effects and may be mistaken for pancreatic pathology on CT. We correlated the CT and upper gastrointestinal series appearance of duodenal diverticula in 14 patients, including two patients in whom erroneous diagnoses of pancreatic pseudocyst and pancreatic abscess were suggested based on CT findings. The duodenal diverticulum was visualized on CT in 10 of 14 patients (71%). The CT appearance was variable, with some diverticula containing air, fluid, contrast medium, or a mixture of the three.
十二指肠憩室很常见,通常被视为偶然发现。然而,它们可能因炎症或压迫作用而导致患者出现严重病变,并且在CT上可能被误诊为胰腺病变。我们对14例患者的十二指肠憩室的CT表现和上消化道造影表现进行了对比,其中包括2例根据CT表现被误诊为胰腺假性囊肿和胰腺脓肿的患者。14例患者中有10例(71%)在CT上显示出十二指肠憩室。CT表现各不相同,一些憩室内含有气体、液体、造影剂或三者的混合物。