Srisajjakul Sitthipong, Prapaisilp Patcharin, Bangchokdee Sirikan
Division of Diagnostic Radiology, Department of Radiology, Faculty of Medicine, Siriraj Hospital, 2 Wanglang Road, Bangkoknoi, Bangkok 10700, Thailand.
Department of Internal Medicine, Pratumtani Hospital, 7 Ladlumkaew Muang District, Pratumtani 12000, Thailand.
Clin Imaging. 2016 Nov-Dec;40(6):1173-1181. doi: 10.1016/j.clinimag.2016.08.007. Epub 2016 Aug 6.
The duodenum is a short segment of the bowel that is frequently overlooked on radiologic examination. This unique portion occupies both intraperitoneal and extraperitoneal locations, with proximity to many visceral organs, including pancreas, stomach, aorta, and liver. This close proximity creates a differentiation challenge for the radiologist. Duodenal pathologies are categorized into neoplastic and nonneoplastic conditions. Majority of radiologists are familiar with duodenal neoplasm. However, duodenal involvement by a multitude of nonneoplastic conditions can be encountered. The majority of related radiology studies have concentrated on neoplasms of the duodenum-either primary or secondary. However, a broad range of nonneoplastic conditions merit discussion. In this review, multimodality imaging features of nonneoplastic duodenal diseases are discussed and emphasized.
To conduct a systematic review of the frequent imaging features of nonneoplastic diseases of the duodenum, with an emphasis on accurate diagnosis so that the patient who will benefit from treatment can be identified.
十二指肠是肠道的一小段,在放射学检查中常被忽视。这个独特的部分占据腹膜内和腹膜外位置,与许多内脏器官相邻,包括胰腺、胃、主动脉和肝脏。这种紧密相邻给放射科医生带来了鉴别诊断的挑战。十二指肠病变可分为肿瘤性和非肿瘤性疾病。大多数放射科医生熟悉十二指肠肿瘤。然而,也会遇到多种非肿瘤性疾病累及十二指肠的情况。大多数相关的放射学研究都集中在十二指肠的肿瘤——原发性或继发性。然而,一系列广泛的非肿瘤性疾病值得探讨。在本综述中,将讨论并强调非肿瘤性十二指肠疾病的多模态影像学特征。
对十二指肠非肿瘤性疾病的常见影像学特征进行系统综述,重点在于准确诊断,以便识别出能从治疗中获益的患者。