University of Missouri School of Medicine, Columbia, MO, USA.
Department of Pathology, University of Missouri School of Medicine, Columbia, MO, USA.
Clin Imaging. 2021 Oct;78:113-116. doi: 10.1016/j.clinimag.2021.03.004. Epub 2021 Mar 11.
Cystic dystrophy of the duodenal wall (CDDW) is an uncommon pathological condition that may be a cause of symptomatic duodenal mass in some patients. CDDW and closely related conditions that involve the duodenal wall and the pancreatoduodenal groove have gone by a variety names in the literature. Though their pathophysiology is not fully understood, they are thought to be due to the presence of heterotopic pancreatic tissue that undergoes a degenerative process. A multimodal imaging approach paired with biopsy is often employed to rule out malignancy in these patients. This case report provides an account of the radiological and pathological findings that helped lead to the diagnosis of CDDW. A review of relevant literature and a discussion of the presented case are provided.
十二指肠壁囊性营养不良（CDDW）是一种罕见的病理情况，在某些患者中可能是引起症状性十二指肠肿块的原因。CDDW 和与之密切相关的累及十二指肠壁和胰十二指肠沟的情况在文献中有多种名称。尽管其病理生理学尚未完全阐明，但据认为它们是由于存在经历退行性过程的异位胰腺组织所致。通常采用多模态成像方法结合活检来排除这些患者的恶性肿瘤。本病例报告提供了有助于诊断 CDDW 的放射学和病理学发现的说明。还提供了对相关文献的回顾和对所提出病例的讨论。
